Active NPI
Kerry J Degnan, PT
- Physical Therapist
- Huntington, NY
National Provider Identifier
1376788992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024187-1
- Practice address
- 161 E Main St
Huntington, NY 11743-2967 - Phone
- (631) 423-7700
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024187-1 | NY | Primary |
Addresses
Primary practice location
161 E Main St
Huntington, NY 11743-2967
Mailing address
54 Magerus St
Huntington Station, NY 11746-3840
Phone (631) 549-5054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024187-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1376788992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MAGERUS ST",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117463840",
"telephone_number": "631-549-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432967",
"telephone_number": "631-423-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGNAN",
"first_name": "KERRY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024187-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.