Individual provider Active NPI

Kristi Dionisio, DPT, CHT, CKTP

  • Physical Therapist
  • Walton, NY
National Provider Identifier
1750446258
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029159 Issued in NY
Practice address
1 Titus PL
Walton, NY 13856-1457
Phone
(607) 865-2155
Fax
(607) 865-2154
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 029159 NY Primary

Addresses

Primary practice location

1 Titus PL
Walton, NY 13856-1457

Mailing address

1 Titus PL
Walton, NY 13856-1457
Phone (607) 865-2155

Other names 1

  • Kristi Rocks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029159NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC Past Accepting new patients

Organizations & group practices 1

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1750446258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561457",
            "telephone_number": "607-865-2155",
            "fax_number": "607-865-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561457",
            "telephone_number": "607-865-2155",
            "fax_number": "607-865-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONISIO",
        "first_name": "KRISTI",
        "credential": "DPT, CHT, CKTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "ROCKS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.