Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kierstyn Fossella, PT, DPT

Individual provider Physical Therapist · NPI 1679177596

Kierstyn Fossella, PT, DPT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2020, 6 years ago. Practices with Rb Physical and Occupational Therapy, PLLC, a 312-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1351 Forest Ave
Staten Island, NY 10302-2049
Phone: (718) 390-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046623 (NY)

Record details

NPI number1679177596
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rb Physical And Occupational Therapy, Pllc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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