Individual provider Active NPI

June Akemi Kume-Kick, M.S.P.T, PH.D

  • Physical Therapist
  • Roslyn Heights, NY
National Provider Identifier
1760637441
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025235-1 Issued in NY
Practice address
23 Peachtree LN
Roslyn Heights, NY 11577-2415
Phone
(516) 582-1795
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025235-1 NY Primary

Addresses

Primary practice location

23 Peachtree LN
Roslyn Heights, NY 11577-2415

Mailing address

23 Peachtree LN
Roslyn Heights, NY 11577-2415
Phone (516) 582-1795

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
025235-1NYMDPhysical Therapist
025235NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1760637441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PEACHTREE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772415",
            "telephone_number": "516-582-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PEACHTREE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772415",
            "telephone_number": "516-582-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUME-KICK",
        "first_name": "JUNE",
        "middle_name": "AKEMI",
        "credential": "M.S.P.T, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025235-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.