Active NPI
Kerynne Livreri, MS, PT, DPT
- Physical Therapist
- Lakewood Ranch, FL
National Provider Identifier
1922210970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24262
- Practice address
- 11910 Whistling Way
Lakewood Ranch, FL 34202-2049 - Phone
- (973) 632-8583
- NPI assigned
- May 3, 2007
- Last updated
- Apr 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA0866200 | NJ | |
| Physical Therapist | 225100000X | 24262 | FL | Primary |
Addresses
Primary practice location
11910 Whistling Way
Lakewood Ranch, FL 34202-2049
Mailing address
11910 Whistling Way
Lakewood Ranch, FL 34202-2049
Other names 1
- Kerynne Livreri
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA0866200 | NJ | MD | Physical Therapist |
| 24262 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1922210970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11910 WHISTLING WAY",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11910 WHISTLING WAY",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022049",
"telephone_number": "973-632-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVRERI",
"first_name": "KERYNNE",
"credential": "MS, PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA0866200",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERYNNE",
"last_name": "LIVRERI",
"credential": "MS, PT, DPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.