Kristin Arevalo, ASSOCIATES DEGREE

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010109-1 Issued in NY

Practice address

72 S Woods Rd
Woodbury, NY 11797-1024

Phone

(516) 921-7650

NPI assigned

Dec 1, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1376917484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N BROOME AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574130",
            "telephone_number": "516-477-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S WOODS RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971024",
            "telephone_number": "516-921-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "KRISTIN",
        "credential": "ASSOCIATES DEGREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010109-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhad Anoosh, MD
• David Jeffrey Antell, D.O.
• Anthony Buglino DO PLLC
• Arch Dental of Huntington PC
• Arch Dental of Woodbury, PC
• Yulia Aronovich, M.D.
• Lori Ann Attivissimo, M.D., F.A.C.P.
• Nicole Attivissimo, COTA
• Emad Samy Awadallah
• Jeanine Baldassarri, MA CCC-SLP

• Physical Therapy Assistant in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.