Joel Paul Kanneth, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049785 Issued in NY

Practice address

14 Thiells Mount Ivy Rd Ste 2
Pomona, NY 10970-3038

Phone

(845) 694-8808

NPI assigned

Nov 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1083323299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE L",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162741",
            "telephone_number": "845-636-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 THIELLS MOUNT IVY RD STE 2",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703038",
            "telephone_number": "845-694-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNETH",
        "first_name": "JOEL",
        "middle_name": "PAUL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimon Joseph, LCSW
• Mini Tony Joseph, LCSW
• Henry Judka, PSY.D
• Julia'S Pheniks Medical Supply
• John Kaiteris
• Mohammad Karimi -Pashaki, MD
• Russell Karkheck, P.H.D.
• Brett A Kastin, DDS
• Allan Katz, DDS
• Chana Kaufman

• Physical Therapist in Pomona, NY
• Providers in Pomona, 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 16, 2022; 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.