Ko Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KO PHYSICAL THERAPY PLLC

Practice address

119 W 23Rd St Ste 804
New York, NY 10011-6344

Phone

(516) 238-0726

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Ojeda, DPTNPI 1932536265

Title

Owner

Phone

(516) 238-0726

Specialties & licenses 1

Addresses

Other names 1

• Kerry Ojeda Doing business as

Practitioners 1

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

• Kerry Ojeda, D.P.T.

  • Physical Therapist
  • Lake Success, NY
  • NPI 1932536265
  NPD Authorized official

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1013738756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOULARD ST APT 1",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105283780",
            "telephone_number": "516-238-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 23RD ST STE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116344",
            "telephone_number": "516-238-0726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Soulard St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105283780",
            "country_code": "US",
            "telephone_number": "516-238-0726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KO PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-238-0726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerry Ojeda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie McGrath Knuts, L.C.S.W.
• Dorothy Knutsen, M.D.
• Joanna Solveig Knutsen
• Lillian Knutzen, LMHC
• Andrea C Knybel, PHARMD.
• Ashley Ko
• Clarissa Ko, PA-C
• Cynthia Ko, M.D.
• Da Hyun Ko
• Eunae Ko, NURSE PRACTITIONER

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.