Active NPI
Joanna Yap Kushetsky
- Physical Therapist
- New York, NY
National Provider Identifier
1952618928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28258
- Practice address
- 303 5TH Ave
Suite 1413
New York, NY 10016-6601 - Phone
- (212) 481-8678
- Fax
- (212) 481-6398
- NPI assigned
- Sep 10, 2010
- Last updated
- May 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28258 | NY | Primary |
Addresses
Primary practice location
303 5TH Ave
Suite 1413
New York, NY 10016-6601
Mailing address
79TH South Drive
Valley Stream, NY 11581
Phone (212) 481-8678
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28258 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1952618928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79TH SOUTH DRIVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "11581",
"telephone_number": "212-481-8678",
"fax_number": "212-481-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 5TH AVE",
"address_2": "SUITE 1413",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166601",
"telephone_number": "212-481-8678",
"fax_number": "212-481-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHETSKY",
"first_name": "JOANNA",
"middle_name": "YAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "28258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.