Kevin John Kilcullen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031862 Issued in NY

Practice address

244 E 84TH St
3Rd Floor
New York, NY 10028-2904

Phone

(212) 570-0209

Fax

(212) 570-0197

NPI assigned

Mar 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1811210339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E 84TH ST",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282904",
            "telephone_number": "212-570-0209",
            "fax_number": "212-570-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E 84TH ST",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282904",
            "telephone_number": "212-570-0209",
            "fax_number": "212-570-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCULLEN",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kil, MD
• Kimberly Ann Kilby, MD, MPH
• Laurina Jolyn Kilby, NP
• Can Misel Kilciksiz, MD
• Kathleen Kilcullen
• Sean Kilcullen
• Rebecca Leigh Kildoo, RBT
• Ashley Kile, LCAT
• Sophia Gamboa Kile
• Lisa Ann Kilejian, MD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.