Active NPI
Kristine Philliponi
- Pediatric Physical Therapist
- Brooklyn, NY
National Provider Identifier
1235471749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 9361271
- Practice address
- 108 N Henry St
3L
Brooklyn, NY 11222-4272 - Phone
- (347) 776-0305
- NPI assigned
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 9361271 | NY | Primary |
Addresses
Primary practice location
108 N Henry St
3L
Brooklyn, NY 11222-4272
Mailing address
108 N Henry St
3L
Brooklyn, NY 11222-4272
Phone (347) 776-0305
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9361271 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1235471749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N HENRY ST",
"address_2": "3L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112224272",
"telephone_number": "347-776-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 N HENRY ST",
"address_2": "3L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112224272",
"telephone_number": "347-776-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPONI",
"first_name": "KRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "9361271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.