Kellianne Contri-McCann, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031222 Issued in NY

Practice address

75 N Country Rd
Port Jefferson, NY 11777-2119

Phone

(631) 686-7648

NPI assigned

Oct 5, 2014

Last updated

Oct 5, 2014By 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

Other names 1

• Kellianne Contri Former name

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": "1412467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412467200000",
    "number": "1700289733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772119",
            "telephone_number": "631-686-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRI-MCCANN",
        "first_name": "KELLIANNE",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-05",
        "last_updated": "2014-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIANNE",
            "last_name": "CONTRI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna M Coleman
• Maria Christina Comillas, RN
• Jennifer Dawn Condlin, RN
• Heather Patrice Coniglio, MA, CCC-SLP
• Kelly Ann Connors, NP
• Steven C Cortes
• Alfred Joseph Cossari Jr., MD
• Kelly Jo Costello
• Christie Lee Cotty, PA
• Ann L Covitz, MSW

• Physical Therapist in Port Jefferson, NY
• Providers in Port Jefferson, 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 Oct 5, 2014; 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.