Individual provider Active NPI

Kenya Medina Singer

  • Physical Medicine & Rehabilitation Physician
  • Floral Park, NY
National Provider Identifier
1801550611
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
047721 Issued in NY
Practice address
24912 Jericho Tpke Ste 110
Floral Park, NY 11001-4020
Phone
(516) 233-1717
Fax
(516) 233-1715
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 047721 NY Primary

Addresses

Primary practice location

24912 Jericho Tpke Ste 110
Floral Park, NY 11001-4020

Mailing address

24912 Jericho Tpke Ste 110
Floral Park, NY 11001-4020
Phone (516) 233-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221014000871 NY Practitioner - Physical Therapist in Private Practice 2668848789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve at Home Physical Therapy PLLCGroup PAC ID 4789071903, 17 clinicians

Practice addresses (Care Compare)

25 Strathmore Rd
Great Neck, NY 11023-1035
Phone (516) 500-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047721NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve at Home Physical Therapy PLLC Single Specialty CurrentSince Sep 2, 2022 Accepting new patients
Strategic Physical Therapy PLLC Single Specialty PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1801550611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24912 JERICHO TPKE STE 110",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014020",
            "telephone_number": "516-233-1717",
            "fax_number": "516-233-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24912 JERICHO TPKE STE 110",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014020",
            "telephone_number": "516-233-1717",
            "fax_number": "516-233-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA SINGER",
        "first_name": "KENYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "047721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.