Kristin Carney

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

007607-1 Issued in NY

Practice address

762 Deer Park Rd
Dix Hills, NY 11746-6221

Phone

(631) 254-0094

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033610712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 MILL RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831800",
            "telephone_number": "516-286-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 DEER PARK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466221",
            "telephone_number": "631-254-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Hallock Ave",
            "address_purpose": "LOCATION",
            "city": "Port Jeff Sta",
            "state": "NY",
            "postal_code": "117761217",
            "country_code": "US",
            "telephone_number": "631-473-4284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007607-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA CERTIFICATION",
            "identifier": "007607-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gianna Nicole Cacciola, RN
• Gina M Calvacca
• Christopher J Cardoza, RN
• Nancy Shea Carella, OTR
• Carla Carlyon, LCSWR
• Cheryl I Carpio-Kaylie, RDN, CDN
• Anthony Louis Castiglione, ATC
• Julia Diane Catalanello
• Carole Ann Catapano, RPH
• Emmanuel Cedillo

• Physical Therapy Assistant in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.