Individual provider Active NPI

Regina Santilli, PT

  • Physical Therapist
  • Poughkeepsie, NY
National Provider Identifier
1801349295
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045715 Issued in NY
Practice address
1910 South Rd
Poughkeepsie, NY 12601-6053
Phone
(845) 454-8377
Fax
(845) 271-2901
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 22439 MA
Physical Therapist 225100000X 12590 CT
Physical Therapist 225100000X 045715 NY Primary

Addresses

Primary practice location

1910 South Rd
Poughkeepsie, NY 12601-6053

Mailing address

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

506 Plain St Ste 101
Marshfield, MA 02050-2745
Phone (781) 319-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200817001187 NY Practitioner - Physical Therapist in Private Practice 3577850197 Reassigns benefits to 1 organization
I20211005000704 CT Practitioner - Physical Therapist in Private Practice 3577850197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1910 S Rd
Poughkeepsie, NY 12601-6027
Phone (845) 454-0120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Ivyrehab Connecticut, Inc. Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients

Locations

33 Church Hill Rd
Newtown, CT 06470
Phone (203) 426-1818

1455 E Putnam Ave
Ste 2
Old Greenwich, CT 06870
Phone (203) 661-4242

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

3598 Route 9W
Ste A
Highland, NY 12528
Phone (845) 709-8977

918 Ulster Ave
Kingston, NY 12401
Phone (845) 339-8900

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 3

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1801349295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE",
            "address_2": "STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016053",
            "telephone_number": "845-454-8377",
            "fax_number": "845-271-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Plain St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "MA",
            "postal_code": "020502745",
            "country_code": "US",
            "telephone_number": "781-319-0024",
            "fax_number": "781-319-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTILLI",
        "first_name": "REGINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22439",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12590",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.