Active NPI
Krysten Saccocio, PT, DPT
- Physical Therapist
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 31784
- Practice address
- 12797 Forest Hill Blvd
Suite B
Wellington, FL 33414-4763 - Phone
- (561) 296-2966
- NPI assigned
- Aug 21, 2016
- 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 | PT 31784 | FL | Primary |
Addresses
Primary practice location
12797 Forest Hill Blvd
Suite B
Wellington, FL 33414-4763
Mailing address
10745 NW 11TH St
Pembroke Pines, FL 33026-5922
Phone (954) 243-3650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12797 Forest Hill Blvd
Suite B
Wellington, FL 33414-4763
Phone (561) 793-5550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 31784 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Action Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Action Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy by Design LLC | Physical Therapist | Current | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 305
Boca Raton, FL 33496
Phone (561) 208-5515
4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590
10151 Entrprs Cntr Blvd
Ste 104
Boynton Beach, FL 33437
Phone (561) 572-3220
106 Ponce de Leon St
Royal Palm Beach, FL 33411
Phone (561) 236-3741
Organizations & group practices 5
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.
-
- Physical Therapist
- Royal Palm Beach, FL
- NPI 1093956302
-
- Physical Therapist
- Boca Raton, FL
- NPI 1689687055
-
- Physical Therapist
- Wellington, FL
- NPI 1790842854
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1437400066
-
- Physical Therapist
- Port Saint Lucie, FL
- NPI 1881097640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1144775073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10745 NW 11TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330265922",
"telephone_number": "954-243-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12797 FOREST HILL BLVD",
"address_2": "SUITE B",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144763",
"telephone_number": "561-296-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCOCIO",
"first_name": "KRYSTEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-21",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 31784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.