Kathleen Citarrella, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0122786 Issued in NY

Practice address

38 Harbor Park Dr
Port Washington, NY 11050-4602

Phone

(516) 441-5440

Fax

(516) 441-5441

NPI assigned

May 18, 2006

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

Other names 1

• Kathleen Maddalone Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fahrenheit Physical Therapy PCGroup PAC ID 4587712492, 2 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.

• Fahrenheit Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Port Washington, NY
  • NPI 1427299254

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Fahrenheit Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Great Neck, NY
  • NPI 1760752455
  NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1972556033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HARBOR PARK DR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504602",
            "telephone_number": "516-441-5440",
            "fax_number": "516-441-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HARBOR PARK DR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504602",
            "telephone_number": "516-441-5440",
            "fax_number": "516-441-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITARRELLA",
        "first_name": "KATHLEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "22786",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0122786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MADDALONE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Port Washington, NY
• Providers in Port Washington, 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 Jul 22, 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.