Kristin Moriconi, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT021730 Issued in PA

Practice address

466 Germantown Pike Ste 200
Lafayette Hill, PA 19444-1805

Phone

(610) 832-7510

Fax

(610) 832-5964

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kristin Stankus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265718399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PIKE STE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621420",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 GERMANTOWN PIKE STE 200",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441805",
            "telephone_number": "610-832-7510",
            "fax_number": "610-832-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORICONI",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT021730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "STANKUS",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Minds First Psychiatry LLC
• Aaron Michael Mittica, L.AC, DIPL.
• Beth Susan Mittica, DC
• Donald Joseph Mittica, DC
• Kimberly S Mollo, OTD, OTR/L
• Robert F Mowery, MD
• Katie Muhlbaier
• Joseph Ryan Nemcik, PTA
• New Roxy Drug Store Inc
• Stephanie Jean Newell, PTA

• Orthopedic Physical Therapist in Lafayette Hill, PA
• Providers in Lafayette Hill, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.