Katrina R Cocilovo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01843400 Issued in NJ

Practice address

1740 E 2ND St
Scotch Plains, NJ 07076-1708

Phone

(732) 513-9251

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastpointe Integrated Healthcare LLCGroup PAC ID 4284721903, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastpointe Integrated Healthcare LLC

  • Chiropractor
  • Atlantic Highlands, NJ
  • NPI 1336349331

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Health & Fitness Professionals LLC

  • Sports Physical Therapist
  • Scotch Plains, NJ
  • NPI 1447628581
  Medicare reassignment NPD

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1487114153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E 2ND ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761708",
            "telephone_number": "732-513-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E 2ND ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761708",
            "telephone_number": "732-513-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCILOVO",
        "first_name": "KATRINA",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01843400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "40QA01843400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jong Won Chung, RPH, CCP
• Jerald Cilente, PHD, LCADC, ABMPP
• Marsha K Cill
• Clajon Health Services, LLC
• Coalesce Counseling LLC
• Community Access Unlimited
• Community Access Unlimited Inc
• Community Access Unlimited Inc
• Community Access Unlimited, Inc.
• Community Access Unlimited, Inc.

• Physical Therapist in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.