Johanna Kristen Panlilio, PT, PTRP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049189-01 Issued in NY

Practice address

1053 Saw Mill River Rd
Ardsley, NY 10502-1048

Phone

(914) 693-2350

Fax

(914) 693-7661

NPI assigned

Mar 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthocare Physical TherapyGroup PAC ID 3870483910, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthocare Physical Therapy

  • Orthopedic Physical Therapist
  • Ardsley, NY
  • NPI 1720141690
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1962260893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OLD MAMARONECK RD APT 4G",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051714",
            "telephone_number": "347-799-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SAW MILL RIVER RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021048",
            "telephone_number": "914-693-2350",
            "fax_number": "914-693-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANLILIO",
        "first_name": "JOHANNA KRISTEN",
        "credential": "PT, PTRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049189-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthocare Physical Therapy
• Yeside Imani Benson Osas, LMSW
• Melody Ovalles, DPT
• Carolyn Pagani, LCSW
• Surinder Pal, M.D,
• Bharat Parikh, M.D.
• Passaic Healthcare Service
• Soham Patel, PT
• Paxxon Healthcare Services
• Rachel Veronica Pecci, OTR/L

• Physical Therapist in Ardsley, NY
• Providers in Ardsley, 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 7, 2024; 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.

Verify at the official NPI Registry.