Active NPIIndividual providerSole proprietor

Katerina Iannacone, PT, DPT

Physical Therapist in Old Bridge, New Jersey

NPI Number1124769294
Practice location
111 County RD 516, Old Bridge, NJ 08857-1421
Fax
—
Last updated
April 23, 2026

Katerina Iannacone is a Physical Therapist based in Old Bridge, NJ. Katerina Iannacone practices in Old Bridge, NJ and has the professional credentials of PT, DPT. The NPI Number for Katerina Iannacone is 1124769294 and holds a License No. 40QA02014500 (NJ). The current practice location address for Katerina Iannacone is 111 County RD 516, Old Bridge, NJ 08857-1421 and can be reached out via phone at 732-254-8200.

Provider Profile Details

NPI Number
1124769294
Provider Name
Katerina Iannacone
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
111 County RD 516, Old Bridge, NJ 08857-1421
Phone Number
732-254-8200
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 5, 2022
Last Update Date
April 23, 2026
Certification Date
April 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 County RD 516
Old Bridge, NJ 08857-1421
Zip
08857-1421
Phone Number
732-254-8200
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
111 County RD 516
Old Bridge, NJ 08857-1421
City
Old Bridge
State
NJ
Zip
08857-1421

License Information

License Number
40QA02014500
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katerina Iannacone, PT, DPT?

The NPI number of Katerina Iannacone, PT, DPT is 1124769294. It was assigned on April 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Katerina Iannacone, PT, DPT?

Katerina Iannacone, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02014500.

Where does Katerina Iannacone, PT, DPT practice?

The practice location is 111 County RD 516, Old Bridge, NJ 08857-1421. The office can be reached at 732-254-8200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124769294 directly on the NPPES registry website.

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