Active NPI
Regina Santilli, PT
- Physical Therapist
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045715
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Connecticut, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | 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.
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
-
- Physical Therapist
- Old Greenwich, CT
- NPI 1265799365
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
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.