Kinetique Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KINETIQUE PHYSICAL THERAPY PC

Practice address

2025 Brentwood Rd
Brentwood, NY 11717-4656

Phone

(631) 234-4949

NPI assigned

Feb 4, 2020

Organization subpart

Yes

Parent organization

KINETIQUE PHYSICAL THERAPY PCAs reported in NPPES

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

Authorized official

Name

Larissa Francisco

Title

Physical Therapist

Phone

(516) 562-1841

Specialties & licenses 2

Addresses

Part of

Kinetique Physical Therapy PC

Locations

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1245861640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174656",
            "telephone_number": "631-234-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIQUE PHYSICAL THERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINETIQUE PHYSICAL THERAPY PC",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-562-1841"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kelly, LMSW
• Josephine Marie Kelly, CASAC
• Theresa Nicole Kenol
• Jacqueline Kerner, PSYD
• Maria Khurshid, MD
• Thaddius A King, CASAC T 41385
• Pamela Kissoondhan
• Tamara Kitt, COUNSELOR/ CASAC T
• Ellen Klaffky, LCSW-R
• Steven I Klein, D.C.

• Physical Therapy Clinic/Center in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.