Kerry Cronin Mallini, PT, NCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21048 Issued in FL

Practice address

3901 University Blvd S
Jacksonville, FL 32216-4312

Phone

(904) 858-7200

Fax

(904) 858-7240

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kerry Michele Cronin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1811095649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 BAYMEADOWS RD",
            "address_2": "UNIT 224",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564518",
            "telephone_number": "904-537-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164312",
            "telephone_number": "904-858-7200",
            "fax_number": "904-858-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLINI",
        "first_name": "KERRY",
        "middle_name": "CRONIN",
        "name_prefix": "Mrs.",
        "credential": "PT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "CRONIN",
            "middle_name": "MICHELE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shayne Lynne Mangalindan Malik
• Jill Maliszewski
• Ray E Mallari
• Jorge Mallea, MD
• Daniel Malleske, MD
• Jennifer Mallon
• Christina Mallory
• Nisha Diann Mallory, RBT
• Tatiyana Malone-Wright
• Gloria Jiovani Malone, COTA

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.