Kellen Ryan Scantlebury Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KELLEN RYAN SCANTLEBURY PHYSICAL THERAPY PLLC

Practice address

2103 31St Ave
Astoria, NY 11106-4521

Phone

(646) 875-8348

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By 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

Kellen Scantlebury, DPTNPI 1326477498

Title

Owner

Phone

(646) 875-8348

Specialties & licenses 1

Addresses

Tax ID family

Fit Club Ny2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kellen Ryan Scantlebury Physical Therapy PLLC

  dba Fit Club NY

  • Physical Therapy Clinic/Center
  • Astoria, NY
  • NPI 1659148807
  NPD tax ID

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.

• Kellen Scantlebury

  • Physical Therapist
  • Hauppauge, NY
  • NPI 1326477498
  NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1720807928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064521",
            "telephone_number": "646-875-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064521",
            "telephone_number": "646-875-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEN RYAN SCANTLEBURY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-06",
        "status": "A",
        "authorized_official_last_name": "SCANTLEBURY",
        "authorized_official_first_name": "KELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-875-8348",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Keator
• Doyen Keene, RPA
• Demetrios Kehagias
• Vasilios Kehagias, C.P.O
• Kellen Ryan Scantlebury Physical Therapy PLLC (Fit Club NY)
• Janet Kelly
• Patrick John Kelly, PA
• Heather B Keltai, LMHC
• Stephen Kendall, LMHC
• Elizabeth Kent

• Physical Therapy Clinic/Center in Astoria, NY
• Providers in Astoria, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.