Individual provider Active NPI

Kinchin Nonog

  • Physical Therapist
  • Mineola, NY
National Provider Identifier
1346617214
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039225 Issued in NY
Practice address
157 Andrews Rd
Mineola, NY 11501-2345
Phone
(213) 884-5987
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039225 NY Primary

Addresses

Primary practice location

157 Andrews Rd
Mineola, NY 11501-2345

Mailing address

157 Andrews Rd
Mineola, NY 11501-2345
Phone (213) 884-5987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001127 NY Practitioner - Physical Therapist in Private Practice 7618217316 Reassigns benefits to 1 organization
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy and Sports Rehab Current Accepting new patients
Dynamic Physical Therapy and Sports Rehabilitations Current Accepting new patients
Dynamic Physical Therapy Rehab of Ny P.C. Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
F Themistocle MD PC Past Accepting new patients
Cross County Anesthesia Consultant PC Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1346617214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 ANDREWS RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012345",
            "telephone_number": "213-884-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 ANDREWS RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012345",
            "telephone_number": "213-884-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NONOG",
        "first_name": "KINCHIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.