Kristin Marie Perricelli, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027045-1 Issued in NY

Practice address

747 Wantagh Ave
Wantagh, NY 11793-2133

Phone

(516) 628-7700

Fax

(516) 396-0138

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

Yes

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, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Long Island Vestibular Physical Therapy, PLLCGroup PAC ID 5799141768, 3 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.

• Long Island Vestibular Physical Therapy, PLLC

  • Physical Therapist
  • Wantagh, NY
  • NPI 1659009363
  Medicare reassignment Care Compare group NPD Authorized official
• Frank Zic, DPT, PT, PLLC

  • Physical Therapist
  • Wantagh, NY
  • NPI 1366994329
  NPD

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1720376783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932133",
            "telephone_number": "516-628-7700",
            "fax_number": "516-396-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932133",
            "telephone_number": "516-628-7700",
            "fax_number": "516-396-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRICELLI",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Pelosi, LCSW
• Virmaris L Perdomo, D.M.D.
• Jennifer Perez-Lai, REGISTERED NURSE
• Beth Nicole Pergament, MSED
• Mark H Perlman, PH.D.
• Jeanette Perucca, M.S., CCC-SLP
• Jessica Lynn Peters, LPN
• Kirsten E Petersen, PHD
• Sharon L. Petito, L.AC., LMT
• Pamela Susan Pfefer

• Physical Therapist in Wantagh, NY
• Providers in Wantagh, 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 Feb 8, 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.