Kristen Prohaska

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051009 Issued in NY

Practice address

3819 Monroe Ave
Pittsford, NY 14534-1336

Phone

(585) 586-3819

Fax

(585) 625-0041

NPI assigned

Aug 31, 2023

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regain Physical Therapy PLLCGroup PAC ID 3971766676, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Regain Physical Therapy PLLC

  • Physical Therapist
  • Pittsford, NY
  • NPI 1538428461
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1659157121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 MONROE AVE",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341336",
            "telephone_number": "585-586-3819",
            "fax_number": "585-625-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 MONROE AVE",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341336",
            "telephone_number": "585-586-3819",
            "fax_number": "585-625-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHASKA",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pittsford Therapy, LCSW, PLLC
• Pittsford Volunteer Ambulance Inc
• Karilyn M Piwoni-Lippa, OD
• Bernard Joseph Plansky, M.D.
• Cynthia Jean Pourzynal, LPN
• Destiny Faith Proulx-Kier
• Sarah Pulinski, MFT
• Laura Allison Schoen Pullem, RN
• Samantha L Putnam
• Melinda Putrelo, LCSW

• Physical Therapist in Pittsford, NY
• Providers in Pittsford, 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 Aug 31, 2023; 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.