Krista Lynn Lucido, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025466-1 Issued in NY

Practice address

11 Broadway
Amityville, NY 11701-2701

Phone

(631) 691-6900

Fax

(631) 691-6910

NPI assigned

May 10, 2006

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PKL Physical Therapy and Wellness, PCGroup PAC ID 6103874425, 6 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.

• PKL Physical Therapy & Wellness, PC

  • Physical Therapist
  • Amityville, NY
  • NPI 1962594143
  Medicare reassignment Care Compare group
• Jeffrey Wheeler DO PC

  • Emergency Medicine Physician
  • Amityville, NY
  • NPI 1497260442
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1487604690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012701",
            "telephone_number": "631-691-6900",
            "fax_number": "631-691-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012701",
            "telephone_number": "631-691-6900",
            "fax_number": "631-691-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIDO",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025466-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Maria Lopez, DCSW
• Marisel Lopez, LMSW
• Marllene Lopez
• Christopher Louis Jr.
• Marie Louise
• Judith Luhr, PHD
• Tanzelya Lyamzina, LPN
• Daniel Lynch
• Diane Lynch, RN
• Sheila Lynch, RN

• Physical Therapist in Amityville, NY
• Providers in Amityville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.