Jacob Kanyuk, PT. DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

208 Lifeline Rd Ste 104
Stroudsburg, PA 18360-6473

Phone

(570) 664-8780

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

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)

Not enrolled

Practice roles

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

• St. Luke's Hospital - Anderson Campus

  • Psychiatric Hospital Unit
  • Easton, PA
  • NPI 1023689676
  NPD (past)
• St. Luke's Hospital Monroe Campus

  • Urgent Care Clinic/Center
  • East Stroudsburg, PA
  • NPI 1467175489
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1245071158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LIFELINE RD STE 104",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606473",
            "telephone_number": "570-664-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LIFELINE RD STE 104",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606473",
            "telephone_number": "570-664-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANYUK",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PT. DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Desiree Joseph, CRNP
• Tamre Marie Joyce
• Jaimie Juschitsch
• Aubry Kacsur, MS CCC-SLP
• Constantina Irene Kallinteris, LCSW
• Garima Kapur, DDS
• Stephanie Kassanoff, MS, RD, LDN
• Katherine M Papazoglou (Essential Therapeutics & Wellness, LLC.)
• Kamaldeep Kaur, DDS
• Sandeep Kaur, CRNP

• Orthopedic Physical Therapist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

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