Kristine Ann Simonik

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI004703 Issued in PA

Practice address

100 Edella Rd
South Abington Township, PA 18411-1641

Phone

(570) 586-1002

NPI assigned

Aug 20, 2019

Last updated

Aug 20, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1629625181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 HILL ST",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184332112",
            "telephone_number": "724-244-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDELLA RD",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184111641",
            "telephone_number": "570-586-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONIK",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI004703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Seprosky, M.S., CCC-SLP
• Carolyn Grace Serio, DMD
• Alan Serniak
• Sandra Ann Serrano, COTA
• Jai Wook Shin, DDS
• SNH Penn Tenant LLC (Clarks Summit Senior Living)
• Siobhan Spager-Yatko, PT, DPT
• Maura Speicher, PTA
• Summit Music Therapy LLC
• Lacey Timms, MS,LPC

• Physical Therapy Assistant in South Abington Township, PA
• Providers in South Abington Township, PA by specialty
• Physical Therapy Assistant in Pennsylvania

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