Andreas Kallenos, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014212-1 Issued in NY

Practice address

1336 50TH St
Brooklyn, NY 11219-3501

Phone

(718) 435-6906

Fax

(718) 435-6908

NPI assigned

Sep 8, 2007

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)

Enrolled

Credentials

Master of Science

State licenses

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.

• Kids in Shape Physical Therapy LLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1578758066
  Authorized official Same address or phone

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189209600000",
    "number": "1295920783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193501",
            "telephone_number": "718-435-6906",
            "fax_number": "718-435-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193501",
            "telephone_number": "718-435-6906",
            "fax_number": "718-435-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLENOS",
        "first_name": "ANDREAS",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-08",
        "last_updated": "2007-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014212-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Kalker, PHYSICIAN ASSISTANT
• Ashwani Kalla, P.T.
• Anusha Kallakuri, MD
• Sreedhar Kallakuri
• Alyssa Stacey Kallenos, PT
• Morgan Blake Kallenos
• Jisha Kallikkadan, MD
• Konstantinos Gus Kallinikos, DPM
• Bracha Miriam Kallus, M.S.
• Penina Kallus

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Sep 8, 2007; 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.