Kathleen Ellen Scibilia, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003022-1 Issued in NY

Practice address

36 Pinetree LN
Roslyn Heights, NY 11577-2420

Phone

(516) 626-1569

Fax

(516) 626-1569

NPI assigned

Jan 31, 2009

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

Other names 1

• Miss Kathleen Ellen Kerns Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1233360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233360000000",
    "number": "1497993257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PINETREE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772420",
            "telephone_number": "516-626-1569",
            "fax_number": "516-626-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PINETREE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772420",
            "telephone_number": "516-626-1569",
            "fax_number": "516-626-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIBILIA",
        "first_name": "KATHLEEN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-31",
        "last_updated": "2009-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003022-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KERNS",
            "middle_name": "ELLEN",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Nicole Schad
• Lauren Scher, PSY.D.
• Dale Rebecca Schiffer, M.S.
• Lee A Schneider, L.C.S.W.
• Jenifer Lauren Schwartz, L.C.S.W
• Catherine Seale
• Caroline Patrice Segota, PT, DPT
• Seth Newman DDS PC
• Anish A Shah, M.D.
• Rajal Shah, DPT

• Physical Therapist in Roslyn Heights, NY
• Providers in Roslyn Heights, 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 Jan 31, 2009; 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.