Kristina Ann Codilla, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2782 Issued in MA

Practice address

2 Washington St Ste 1
Melrose, MA 02176-6017

Phone

(781) 321-7000

Fax

(781) 322-9678

NPI assigned

Sep 11, 2024

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Medical and Physical Therapy Associates IncGroup PAC ID 3779525837, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Massachusetts Medical & Physical Therapy Associates Inc.

  • Rehabilitation Practitioner
  • Woburn, MA
  • NPI 1447259163

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1386470722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST STE 1",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766017",
            "telephone_number": "781-321-7000",
            "fax_number": "781-322-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST STE 1",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766017",
            "telephone_number": "781-321-7000",
            "fax_number": "781-322-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODILLA",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "2782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Thomas Ciancarelli, D.M.D.
• City of Melrose
• City of Melrose
• City of Melrose
• Christine McCarthy Clark, MS, RD, LDN, CSSD
• Patrick Joseph Colbert, APRN, CS
• Jennifer Martell Collar, CNP
• Michelle Lynne Butman Collins, LICSW
• Complex Trauma Institute LLC
• Connected Pelvic Floor Physical Therapy LLC

• Physical Therapist in Melrose, MA
• Providers in Melrose, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.