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

Kristina Tisellano, DPT

Individual provider Physical Therapist · NPI 1881021087

Kristina Tisellano, DPT is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2013, 13 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment. Licensed in New Jersey, New York and Pennsylvania.

Years since qualifying
13
Licensed in
NJ, NY, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4010 Avenue U
Brooklyn, NY 11234-5118
Phone: (718) 692-1155
Fax: (718) 692-1355
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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 036909 (NY)
Physical Therapist Taxonomy 225100000X · Licence 40QA01842100 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 022884 (PA)

Record details

NPI number1881021087
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 2, 2013
Last updated in NPPESJanuary 28, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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