Kenedy Degracia, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

054094 Issued in NY

Practice address

434 Old Post Rd
Bedford, NY 10506-1018

Phone

(914) 234-4445

Fax

(914) 234-4446

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kenedy Fraleigh Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (4 of 8)

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  NY

  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  Care Compare group NPD
• Montefiore Medical Center

  • Physical Therapist
  • New York, NY
  • NPI 1124780630
  Care Compare group
• Montefiore Medical Center

  • Occupational Therapist
  • Tuckahoe, NY
  • NPI 1154005486
  Care Compare group
• Montefiore Medical Center

  • Dentist
  • Bronx, NY
  • NPI 1275710519
  Care Compare group
• Montefiore Medical Center

  • Physical Therapist
  • Fishkill, NY
  • NPI 1356012454
  Care Compare group
• Montefiore Medical Center

  • Physical Therapist
  • Tarrytown, NY
  • NPI 1366113466
  Care Compare group
• Montefiore Medical Center

  • Home Health Agency
  • Bronx, NY
  • NPI 1457406621
  Care Compare group
• Montefiore Medical Center

  • Physical Therapist
  • New York, NY
  • NPI 1477224566
  Care Compare group
• Montefiore Medical Center

  • Physical Therapist
  • New Windsor, NY
  • NPI 1528803285
  Care Compare group
• Montefiore Medical Center

  • Physical Therapist
  • Orangeburg, NY
  • NPI 1598436693
  Care Compare group
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Yonkers, NY
  • NPI 1659156255
  Care Compare group

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1104594308",
    "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": "434 OLD POST RD",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061018",
            "telephone_number": "914-234-4445",
            "fax_number": "914-234-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRACIA",
        "first_name": "KENEDY",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02039300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENEDY",
            "last_name": "FRALEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mildred Chervin, RPH
• Laurie Ciavardini, LCSW
• Carolyn Anne Clark-Tenney, LCSW
• Julianne Connell
• Courtney Plank LCSW PLLC
• Sara Kathryn Ehleben, LPN
• Vivian E Falco, PT
• James Fenimore, PHD, LMFT
• Karen L. Fleming.Sherman, RN, CNS
• Matty S. Fruchtman, RPH

• All providers in Bedford, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.