Individual provider Active NPI

Kasey Picciano, DPT

  • Physical Therapist
  • Maitland, FL
National Provider Identifier
1487287249
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35540 Issued in FL
Practice address
405 Lake Howell Rd Ste 1031
Maitland, FL 32751-5926
Phone
(407) 671-0433
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35540 FL Primary

Addresses

Primary practice location

405 Lake Howell Rd Ste 1031
Maitland, FL 32751-5926

Mailing address

1350 Place Vendome
Winter Park, FL 32789-1350
Phone (702) 639-7506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325001529 FL Practitioner - Physical Therapist in Private Practice 1850729807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35540FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tript, LLC Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients

Locations

405 Lake Howell Rd
Ste 1031
Maitland, FL 32751
Phone (407) 671-0433

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1487287249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 PLACE VENDOME",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891350",
            "telephone_number": "702-639-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE HOWELL RD STE 1031",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515926",
            "telephone_number": "407-671-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIANO",
        "first_name": "KASEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.