Individual provider Active NPI

Kristine Patricia Williams, D.P.T.

  • Physical Therapist
  • Hauppauge, NY
National Provider Identifier
1912231986
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032317 Issued in NY
Practice address
611 Old Willets Path
Hauppauge, NY 11788-4115
Phone
(631) 232-5350
Fax
(631) 232-1583
NPI assigned
Sep 24, 2009
Last updated
Feb 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032317 NY Primary

Addresses

Primary practice location

611 Old Willets Path
Hauppauge, NY 11788-4115

Mailing address

611 Old Willets Path
Hauppauge, NY 11788-4115
Phone (631) 232-5350

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center Rehabilitation & Sports Therapy LLC Physical Therapist PastSince Jan 2, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1912231986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 OLD WILLETS PATH",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884115",
            "telephone_number": "631-232-5350",
            "fax_number": "631-232-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 OLD WILLETS PATH",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884115",
            "telephone_number": "631-232-5350",
            "fax_number": "631-232-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.