Kerrianne Maire Sanicola

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042242 Issued in NY

Practice address

3374 Franklin Ave
Millbrook, NY 12545-5969

Phone

(845) 677-3251

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1992346167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3374 FRANKLIN AVE",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455969",
            "telephone_number": "845-677-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANICOLA",
        "first_name": "KERRIANNE",
        "middle_name": "MAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Praino, DPT
• Richter Medical PC
• Robert Rizzo, LCSW-R
• Robert F. Krall
• Valerie Dawne Ruzich, OTR
• Danielle Scalzo
• Lauren J Scelia, LCSW
• Kristina Schrader, PTA
• Laureen Rose Scianimanico, M.S., CCC-SLP
• Shannon Shaw LCSW, PLLC

• Physical Therapist in Millbrook, NY
• Providers in Millbrook, 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 Sep 30, 2019; 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.