Kimberly Messina, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023293-1 Issued in NY

Practice address

45 Rosevale Ave
Lake Ronkonkoma, NY 11779-3105

Phone

(631) 585-3585

Fax

(631) 585-3585

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 names 1

• Mrs. Kimberly Larocca-Messina Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC

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  • NPI 1326355132
  Medicare reassignment NPD
• Northeast Restorative Physical and Occupational Therapy Services, PLLC

  • Physical Therapy Clinic/Center
  • Riverhead, NY
  • NPI 1982880951
  NPD (past)
• Russ L'Hommedieu PT, P.C.

  • Orthopedic Physical Therapist
  • Riverhead, NY
  • NPI 1184708695
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205056959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROSEVALE AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117793105",
            "telephone_number": "631-585-3585",
            "fax_number": "631-585-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROSEVALE AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117793105",
            "telephone_number": "631-585-3585",
            "fax_number": "631-585-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023293-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LAROCCA-MESSINA",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Farrah L Merendina, RPH
• Mariam Millian Meyers, PHARM.D
• Michael Creta, DO
• Jessica Michels
• Jennifer T Michiel, MHC
• Jordan Michiel, PA-C, MPAS

• Physical Therapist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Physical Therapist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.