Nancvy C Kinney, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Centerport, NY
NPI 1013063270 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013063270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2311-1 (NY)
- Practice address
- 406 Coolidge Dr
Centerport, NY 11721-1206 - Phone
- (631) 424-2001
- Fax
- (631) 424-2001
- NPI assigned
- Jan 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2311-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2311-1 | NY | Yes |
Addresses
Primary practice location
406 Coolidge Dr
Centerport, NY 11721-1206
Mailing address
406 Coolidge Dr
Centerport, NY 11721-1206
Phone (631) 424-2001
Other providers in Centerport, NY
- Monique Camille Kaim
- Ira Kalina
- Kate Kane
- Rose Marie Kearing
- Diana E. Keegan
- Edna Ko Yang
- Ginger Ann Kohler
- Jodi Kudler
- Anthony Lambros
- Kristin Lamonica
All providers in Centerport, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.