Individual provider Active NPI

Carlene Noelle Kuczma, MPT

  • Physical Therapist
  • Yorktown Heights, NY
National Provider Identifier
1942418645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021717-01 Issued in NY
Practice address
200 Boces Dr
Pines Bridge School
Yorktown Heights, NY 10598-4321
Phone
(914) 248-2257
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021717-01 NY Primary

Addresses

Primary practice location

200 Boces Dr
Pines Bridge School
Yorktown Heights, NY 10598-4321

Mailing address

137 Shagbark LN
Hopewell Junction, NY 12533-5281
Phone (845) 592-0739

Other names 1

  • Miss Carlene Noelle Barents Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
021717-01NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942418645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SHAGBARK LN",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335281",
            "telephone_number": "845-592-0739",
            "fax_number": "845-592-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOCES DR",
            "address_2": "PINES BRIDGE SCHOOL",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984321",
            "telephone_number": "914-248-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZMA",
        "first_name": "CARLENE",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021717-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLENE",
            "last_name": "BARENTS",
            "middle_name": "NOELLE",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.