Kristopher Drew Vernold, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022083-1 Issued in NY

Practice address

13 Baywood Dr
Queensbury, NY 12804-5822

Phone

(518) 761-0850

Fax

(518) 745-1351

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Peak Physical Therapy PCGroup PAC ID 3678832235, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• High Peak Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Queensbury, NY
  • NPI 1831614676

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720154065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GEER RD",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128393400",
            "telephone_number": "518-761-0850",
            "fax_number": "518-745-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BAYWOOD DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045822",
            "telephone_number": "518-761-0850",
            "fax_number": "518-745-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNOLD",
        "first_name": "KRISTOPHER",
        "middle_name": "DREW",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022083-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000403950001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "826692",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Grace Vanderzee
• Mark R Vandien, RPA
• Melissa Vanorden, RN
• Ashley Varco
• Krystal Lee Varney, RN
• Barbara L Viele, LPN
• Derek Vuong, OD
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Physical Therapist in Queensbury, NY
• Providers in Queensbury, 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 Jul 8, 2007; 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.