Kevin Deng, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021245-1 Issued in NY

Practice address

6435 181St St
Fresh Meadows, NY 11365-2141

Phone

(646) 305-9096

NPI assigned

Oct 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yu Ning Deng Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1801172333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 181ST ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652141",
            "telephone_number": "646-305-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 181ST ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652141",
            "telephone_number": "646-305-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "KEVIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021245-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YU NING",
            "last_name": "DENG",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Delgado, LMSW
• Elizabeth Ann Delio, SLP
• Antonia Delledera
• Regina Delrosario
• Danielle Delsignore
• Mary Ellen Dennis, RN
• Dental Excellence of Ny
• Department of Education
• Dermatologic Procedures of Queens County, PC
• Joyce Derner, LPN

• Physical Therapist in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Oct 28, 2011; 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.