Active NPI
Kristina M Smeragulio, PT
- Physical Therapist
- Kailua Kona, HI
National Provider Identifier
1962707307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008895
- Practice address
- 76-147 Royal Poinciana Dr
Kailua Kona, HI 96740-2385 - Phone
- (808) 327-6202
- NPI assigned
- Jan 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008895 | CT | Primary |
Addresses
Primary practice location
76-147 Royal Poinciana Dr
Kailua Kona, HI 96740-2385
Mailing address
1170 Bull Hill Rd
Gilboa, NY 12076-3638
Phone (518) 827-7098
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008895 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1962707307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 BULL HILL RD",
"city": "GILBOA",
"state": "NY",
"postal_code": "120763638",
"telephone_number": "518-827-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76-147 ROYAL POINCIANA DR",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402385",
"telephone_number": "808-327-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMERAGULIO",
"first_name": "KRISTINA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-16",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.