Active NPI
Kia Nichole Antipuesto, PT, DPT
- Physical Therapist
- Queens, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045667
- Practice address
- 140-40 Sanford Avenue
Queens, NY 11355-2556 - Phone
- (718) 353-1400
- NPI assigned
- Aug 12, 2021
- Last updated
- Feb 27, 2023
- 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 | 045667 | NY | Primary |
Addresses
Primary practice location
140-40 Sanford Avenue
Queens, NY 11355-2556
Mailing address
8808 Justice Ave Apt 9N
Elmhurst, NY 11373-5338
Phone (916) 895-4726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045667 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current | Accepting new patients |
| My Medical PC | Current | Accepting new patients | |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Ats Rehab OT & PT & SLP PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 488-6340
1105 E County Line Rd
Ste 213
Lakewood, NJ 08701
3438 Bell Blvd
Ste 301
Bayside, NY 11361
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
CA, Physical Therapist
-
- Occupational Therapist
- Long Beach, NY
- NPI 1841711454
Physical Therapist
-
- Family Medicine Physician
- Valley Cottage, NY
- NPI 1518637891
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1639844434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8808 JUSTICE AVE APT 9N",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735338",
"telephone_number": "916-895-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140-40 SANFORD AVENUE",
"city": "QUEENS",
"state": "NY",
"postal_code": "113552556",
"telephone_number": "718-353-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTIPUESTO",
"first_name": "KIA NICHOLE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.