Individual provider Active NPI

Kris Michele Triolo, PT, MBA

  • Orthopedic Physical Therapist
  • Brigantine, NJ
National Provider Identifier
1598520090
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00422400 Issued in NJ
Practice address
3201 W Brigantine Ave
Brigantine, NJ 08203-1609
Phone
(609) 922-0868
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 40QA00422400 NJ
Orthopedic Physical Therapist 2251X0800X 40QA00422400 NJ Primary

Addresses

Primary practice location

3201 W Brigantine Ave
Brigantine, NJ 08203-1609

Mailing address

210 10TH St S
Brigantine, NJ 08203-2316
Phone (609) 922-0868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321000315 NJ Practitioner - Physical Therapist in Private Practice 0941647341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Physical Therapy and Wellness LLCGroup PAC ID 0648644393, 3 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

3201 W Brigantine Ave
Brigantine, NJ 08203-1609
Phone (609) 264-1666

45 S New York Rd
Galloway, NJ 08205-3805
Phone (609) 770-4522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
40QA00422400NJMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Geriatrics Current Accepting new patients
Coastal Physical Therapy and Wellness LLC Geriatrics CurrentSince Feb 10, 2024 Accepting new patients
Ivyrehab Network, Inc. Geriatrics CurrentSince Feb 7, 2025 Accepting new patients
Ivyrehab Network Inc Geriatrics CurrentSince Feb 7, 2025 Accepting new patients

Locations

3201 W Brigantine Ave
Brigantine, NJ 08203
Phone (609) 264-1666

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

45 S New York Rd
Galloway, NJ 08205
Phone (609) 404-3950

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1598520090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 10TH ST S",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082032316",
            "telephone_number": "609-922-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W BRIGANTINE AVE",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031609",
            "telephone_number": "609-922-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIOLO",
        "first_name": "KRIS",
        "middle_name": "MICHELE",
        "credential": "PT, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA00422400",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00422400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigantine, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.