Individual provider Active NPI

Gertina Tina Kurland, PT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1962523209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013300-1 Issued in NY
Practice address
4004 Bowne St
1I
Flushing, NY 11354-6143
Phone
(718) 539-3359
Fax
(718) 358-3837
NPI assigned
Apr 3, 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 013300-1 NY Primary

Addresses

Primary practice location

4004 Bowne St
1I
Flushing, NY 11354-6143

Mailing address

20814 Richland Ave
Oakland Gardens, NY 11364-3231
Phone (718) 776-6209

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

LicenseStateTypeSpecialty
013300-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical Therapy Rehabilitation Services PC Physical Therapist PastSince May 1, 2004 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962523209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20814 RICHLAND AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643231",
            "telephone_number": "718-776-6209",
            "fax_number": "718-358-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 BOWNE ST",
            "address_2": "1I",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546143",
            "telephone_number": "718-539-3359",
            "fax_number": "718-358-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURLAND",
        "first_name": "GERTINA",
        "middle_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013300-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, 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.