Kristen Alynn Maggiulli, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013537-01 Issued in NY

Practice address

2561 Lac Deville Boulevard
Suite 100
Rochester, NY 14618

Phone

(585) 473-1290

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Inner Power Physical Therapy PLLC

  dba Specialty Physical Therapy

  • Physical Therapy Clinic/Center
  • Rochester, NY
  • NPI 1760047278

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1982321121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 LAC DEVILLE BOULEVARD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-473-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 LAC DEVILLE BOULEVARD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-473-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIULLI",
        "first_name": "KRISTEN",
        "middle_name": "ALYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013537-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PROMPTEMR",
            "affiliation": "N",
            "endpointDescription": "Medical records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2561 Lac DeVille Boulevard",
            "address_2": "Suite 100",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paulina Maria Mager, PA-C
• Jamie Lynn Maggio, FNP-C
• Matthew C Maggio
• Nathaniel Maggio
• Russell Philip Maggio, M.D.
• Quinn Magiera
• Angela Marie Magin, PT, DPT
• Bethany Magin, M.S ED.
• Lauren Magin, PT, DPT
• Giovanni Nicholas Magliocchetti, PHARMD

• Physical Therapist in Rochester, NY
• Providers in Rochester, 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 Oct 27, 2022; 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.