Kinetic Sports Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023483 Issued in NY

Legal business name

KINETIC SPORTS PHYSICAL THERAPY P.C.

Practice address

115 E 86TH St
New York, NY 10028-1057

Phone

(212) 534-5778

Fax

(212) 534-9397

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joel Rodrigo Dinglasan, PTNPI 1972554095

Title

President / Sole Owner

Phone

(212) 534-5778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel R Dinglasan, PT

  • Physical Therapist
  • New York, NY
  • NPI 1972554095
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1255382875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281057",
            "telephone_number": "212-534-5778",
            "fax_number": "212-534-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281057",
            "telephone_number": "212-534-5778",
            "fax_number": "212-534-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC SPORTS PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "DINGLASAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "RODRIGO",
        "authorized_official_title_or_position": "PRESIDENT / SOLE OWNER",
        "authorized_official_telephone_number": "212-534-5778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinesioworks LLC
• Kinesioworks Physical Therapy, P.C.
• Kinesthesia Physio, LLC
• Kinetic Kids Occupational Therapy PLLC
• Kinetic Rehabilitation Inc
• Celica King-Gates
• Myra Ann King-Kerge, LMSW
• Erica Lynne King-Toler, PHD
• Alexandra King, MD
• Amber Courtney King

• Physical Therapist in New York, NY
• Providers in New York, 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 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.