Core Kinetics Physical Therapy PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

031523-1 Issued in NY

Legal business name

CORE KINETICS PHYSICAL THERAPY PLLC

Practice address

177 Conklin St
Farmingdale, NY 11735-2501

Phone

(516) 526-5196

Fax

(631) 351-4049

NPI assigned

Sep 7, 2016

Last updated

Aug 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Patrick Keating IINPI 1093944373

Title

Owner

Phone

(516) 526-5196

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph P. Keating II, P.T., D.P.T.

  • Physical Therapist
  • Melville, NY
  • NPI 1093944373
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1467909408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PIERMONT CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471410",
            "telephone_number": "516-526-5196",
            "fax_number": "631-351-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352501",
            "telephone_number": "516-526-5196",
            "fax_number": "631-351-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE KINETICS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-526-5196",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "031523-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia L Conniff
• Vincent Conte
• Emily R Copel, D.O.
• Maureen Patricia Corbett, COTA/L
• Cordial Medical, P.C.
• Robert Thomas Corry, PHARMD
• Kristin Marie Cotone, P.T.
• Courtesy Drugs and Surgical Inc (Courtesy Drugs)
• Sarah Cruz, RN
• Sharon Nicole Cuellar

• Physical Medicine & Rehabilitation Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.