Kristine Iannucci, PT ASSISTANT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006241 Issued in NY

Practice address

570 Centre Ave
Lindenhurst, NY 11757-3113

Phone

(631) 987-0857

NPI assigned

Feb 21, 2008

Sex

Female

Sole proprietor

Yes

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1386813673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 CENTRE AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573113",
            "telephone_number": "631-987-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 CENTRE AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573113",
            "telephone_number": "631-987-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNUCCI",
        "first_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PT ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hossam Adham Medical PC
• Greggory Hronec
• David Huang, MD
• Lena Huang, M.A.
• Andrea Dolores Hyndman, MA TSHH
• Emad Ezzat Ibrahim, D.D.S.
• Ahad Muhammad Idris, DO
• Hooria Idris, FNP
• Sungjin Im, PHD
• Lauren Imhof

• Physical Therapy Assistant in Lindenhurst, NY
• Providers in Lindenhurst, 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 Mar 17, 2011; 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.