Kinesiologic Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024745-1 Issued in NY

Legal business name

KINESIOLOGIC PHYSICAL THERAPY

Practice address

657 Central Ave
Cedarhurst, NY 11516-2320

Phone

(631) 678-6858

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Douglas Geller

Title

President

Phone

(631) 678-6858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333843200000",
    "number": "1558637165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SACKVILLE RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CENTRAL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162320",
            "telephone_number": "631-678-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESIOLOGIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-04-08",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-678-6858"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024745-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Jay Kaufman, M.D.
• Joan Kavarsky, CCC-SLP
• Joseph Kelberman, DC
• Steven Mark Kellner, MD
• Alexis Kemp, LMSW
• David S. Kirsch, M.D.
• Jessica Lynn Kirschner, MD
• Kjjnr
• Jonathan Klahr, MD
• Sofia Klayn, BCBA LBA

• Physical Therapist in Cedarhurst, NY
• Providers in Cedarhurst, 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 Apr 8, 2012; 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.