Kingston Spine & Sport Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023101 Issued in PA

Legal business name

KINGSTON SPINE & SPORT PHYSICAL THERAPY PC

Practice address

310 Market St
Kingston, PA 18704-5425

Phone

(570) 288-1185

Fax

(570) 288-2050

NPI assigned

May 18, 2016

Last updated

Jan 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary G Parker Jr., DPTNPI 1538109814

Title

Owner

Phone

(607) 316-0987

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary G Parker Jr., PT

  • Physical Therapist
  • Greene, NY
  • NPI 1538109814
  Authorized official Same address or phone

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1205283454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1588",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040588",
            "telephone_number": "570-288-1185",
            "fax_number": "570-288-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045425",
            "telephone_number": "570-288-1185",
            "fax_number": "570-288-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON SPINE & SPORT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-316-0987",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingston Operations LLC (Kingston Rehabilitation and Nursing Center)
• Kingston Ophthalmology ASC LLC (Kingston Surgery Center)
• Kingston Ophthalmology ASC LLC (Kingston Surgery Center)
• Kingston SNF Healthcare, LLC (Third Avenue Health & Rehab Center)
• Kingston SNF Operations, LLC
• Mary Kathleen Kirchner
• Jacqueline Kishbaugh, BCBA
• Allison Kleinman, LSW
• Mikayla A Klym, DC
• Kimberly Anne Konnick, MS, OTR/L

• Physical Therapist in Kingston, PA
• Providers in Kingston, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.