Keith J Pennetti P.T., PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KEITH J PENNETTI P.T., PC

Practice address

243 Boyle Rd
Selden, NY 11784-1929

Phone

(631) 696-4371

Fax

(631) 696-1616

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Keith J Penetti, PT

Title

Owner

Phone

(631) 413-1648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1043465826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E BROADWAY",
            "address_2": "APT A",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771263",
            "telephone_number": "631-413-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 BOYLE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841929",
            "telephone_number": "631-696-4371",
            "fax_number": "631-696-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J PENNETTI P.T., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "PENETTI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-413-1648",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayman Abdel Karim
• Steven A Karmel, D.M.D., F.A.G.D.
• Linda Kaszuba
• Shalini Kathuria
• Phani Jaya Sree Kaza, PT
• Kalli Rose Kelley, RN
• Sarah Kelly, L.M.T.
• Suzie Jean Kennedy, LPN
• Daniele J Kenny, MD
• Laraib Khan, PT, DPT

• Physical Therapist in Selden, NY
• Providers in Selden, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.