James Adedire Kehinde, PT
Individual provider Active NPI Physical Therapist · Laureldale, PA
NPI 1376796045 · NPPES record last updated Oct 28, 2008
Key facts
- NPI
- 1376796045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT010571L (PA)
- Practice address
- 2125 Elizabeth Ave
Laureldale, PA 19605-2259 - Phone
- (610) 921-9292
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 12869 | FL | MD | Physical Therapist |
| 5501006867 | MI | MD | Physical Therapist |
| PT010571L | PA | MD | Physical Therapist |
| 6511 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 12869 | FL | |
| Physical Therapist | 225100000X | PT010571L | PA | Yes |
| Physical Therapist | 225100000X | 5501006867 | MI | |
| Physical Therapist | 225100000X | 6511 | NC |
Addresses
Primary practice location
2125 Elizabeth Ave
Laureldale, PA 19605-2259
Mailing address
45 Linkside CT
Reading, PA 19606-8808
Phone (610) 406-9562
Other providers in Laureldale, PA
- Jill Diamond Greene
- Julie Marie Hite
- Kristea Jones
- Joseph L Simmons Inc
- Michael John Kaminskas III
- Laureldale Family Medicine, PC
- Manor Care of Laureldale PA, LLC
- Jennifer Maryniak
- David Scott McCall
- Sherry L Milchick
All providers in Laureldale, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.