Individual provider Active NPI

Kristine May B Parcon, D.P.T.

  • Orthopedic Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1760895122
Registry record updated Sep 26, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Oct 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
027811 Issued in NY
Practice address
9614 Metropolitan Ave Ste B
Forest Hills, NY 11375-6675
Phone
(718) 424-9531
Fax
(718) 424-2695
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027811 NY
Geriatric Physical Therapist 2251G0304X 027811 NY
Orthopedic Physical Therapist 2251X0800X 027811 NY Primary

Addresses

Primary practice location

9614 Metropolitan Ave Ste B
Forest Hills, NY 11375-6675

Mailing address

8831 179TH PL
Jamaica, NY 11432-4735
Phone (347) 891-8231

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
027811NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eta Medical Management Inc PastSince Jan 1, 2024 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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1760895122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 179TH PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324735",
            "telephone_number": "347-891-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 METROPOLITAN AVE STE B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756675",
            "telephone_number": "718-424-9531",
            "fax_number": "718-424-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCON",
        "first_name": "KRISTINE MAY",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027811",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "027811",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "027811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.