Organization Active NPI

Kingsley-Hylkema Physical Therapy, P.C.

  • Physical Therapist
  • Rhinebeck, NY
National Provider Identifier
1003832692
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015726-1 Issued in NY
Legal business name
KINGSLEY-HYLKEMA PHYSICAL THERAPY, P.C.
Doing business as
Dynamic Physical Therapy
Practice address
3752 Route 9G
Rhinebeck, NY 12572-1173
Phone
(845) 876-8220
Fax
(845) 876-8221
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Ms. Ingrid Johanna Sjoerdje Hylkema, PTNPI 1639184542
Title
Physical Therapist
Phone
(845) 876-8220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 015726-1 NY Primary

Addresses

Primary practice location

3752 Route 9G
Rhinebeck, NY 12572-1173

Mailing address

3752 Route 9G
Rhinebeck, NY 12572-1173
Phone (845) 876-8220

Other identifiers 9

IdentifierTypeStateIssuer
KI0Q0WSI10OtherNYMEDICARE EMC GROUP
QL6862OtherNYMEDICARE THOMAS KINGSLEY
QL6872OtherNYMEDICARE INGRID HYLKEMA
1639184542OtherNYINGRID HYLKEMA NPI#
1720094881OtherNYTHOMAS KINGSLEY NPI#
IH0QL68720OtherNYMEDICARE I.HYLKEMA EMC
TK0QL68620OtherNYMEDICARE T.KINGSLEY EMC
QL686Q0SI1OtherNYMEDICARE T.KINGSLEY PAPER
QL687Q0SI1OtherNYMEDICARE I.HYLKEMA PAPER

Other names 1

  • Dynamic Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3752 Route 9G
Rhinebeck, NY 12572
Phone (845) 876-8220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1003832692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 ROUTE 9G",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721173",
            "telephone_number": "845-876-8220",
            "fax_number": "845-876-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 ROUTE 9G",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721173",
            "telephone_number": "845-876-8220",
            "fax_number": "845-876-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY-HYLKEMA PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "HYLKEMA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "JOHANNA SJOERDJE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-876-8220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015726-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE EMC GROUP",
            "identifier": "KI0Q0WSI10",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE THOMAS KINGSLEY",
            "identifier": "QL6862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INGRID HYLKEMA",
            "identifier": "QL6872",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INGRID HYLKEMA NPI#",
            "identifier": "1639184542",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMAS KINGSLEY NPI#",
            "identifier": "1720094881",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE I.HYLKEMA EMC",
            "identifier": "IH0QL68720",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE T.KINGSLEY EMC",
            "identifier": "TK0QL68620",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE T.KINGSLEY PAPER",
            "identifier": "QL686Q0SI1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE I.HYLKEMA PAPER",
            "identifier": "QL687Q0SI1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.