Jessica Santikul, PT, MS, PCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

022961 Issued in NY

Practice address

145 Huguenot St Ste 404
New Rochelle, NY 10801-5237

Phone

(914) 251-0905

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• G & Y Kidspower, Inc.

  • Early Intervention Provider Agency
  • Yonkers, NY
  • NPI 1124263397
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1205080165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ANDREW RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107091402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HUGUENOT ST STE 404",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015237",
            "telephone_number": "914-251-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIKUL",
        "first_name": "JESSICA",
        "credential": "PT, MS, PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022961",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "022961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sankofa Holdings, LLC
• Kristin Marie Sannicandro, M.S
• Christian Marcelis Santana, NP
• Karina Santiago Sanchez, LCSW
• Gizel Adria Santiago
• Anita May Santos, MHC
• Soreily S Sarante Roque
• April Flores Sarol
• James Gerard Satriano
• Emma Savage, LMHC

• Pediatric Physical Therapist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.