Individual provider Active NPI

Kristin M Cappelli, P.T.

  • Physical Therapist
  • Rome, NY
National Provider Identifier
1639237415
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028591-1 Issued in NY
Practice address
107 E Chestnut St
Suite 104
Rome, NY 13440-2834
Phone
(315) 337-7952
Fax
(315) 337-0991
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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 028591-1 NY Primary

Addresses

Primary practice location

107 E Chestnut St
Suite 104
Rome, NY 13440-2834

Mailing address

24 Croft Rd
New Hartford, NY 13413-2622

Other names 1

  • Kristin Alcuri Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318000838 NY Practitioner - Physical Therapist in Private Practice 5496986309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

91 Perimeter Rd
Suite 160
Rome, NY 13441-4019
Phone (315) 336-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028591NYMDDental Hygienist
028591-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients

Locations

8112 State Route 12
Barneveld, NY 13304
Phone (315) 896-4111

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

600 French Rd
New Hartford, NY 13413
Phone (315) 266-0010

91 Perimeter Rd
Ste 160
Rome, NY 13441
Phone (315) 336-3480

Organizations & group practices 3

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1639237415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CROFT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CHESTNUT ST",
            "address_2": "SUITE 104",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402834",
            "telephone_number": "315-337-7952",
            "fax_number": "315-337-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLI",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028591-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "ALCURI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.