Individual provider Active NPI

Kento Kamiyama, P.T., D.P.T

  • Physical Therapist
  • Tenafly, NJ
National Provider Identifier
1669750584
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0382441 Issued in NY
Practice address
32 Washington St Ste 2B2
Tenafly, NJ 07670-3218
Phone
(201) 655-9029
Fax
(201) 327-1921
NPI assigned
Jul 26, 2011
Last updated
Jan 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0382441 NY Primary
Physical Therapist 225100000X 40QA01402100 NJ

Addresses

Primary practice location

32 Washington St Ste 2B2
Tenafly, NJ 07670-3218

Mailing address

32 Washington St Ste 2B2
Tenafly, NJ 07670-3218
Phone (201) 305-9029

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0382441NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kamiyama Physical Therapy PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1669750584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WASHINGTON ST STE 2B2",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703218",
            "telephone_number": "201-305-9029",
            "fax_number": "201-327-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WASHINGTON ST STE 2B2",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703218",
            "telephone_number": "201-655-9029",
            "fax_number": "201-327-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIYAMA",
        "first_name": "KENTO",
        "name_prefix": "Mr.",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0382441",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01402100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2026; 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.