NPIMap

Organization Active NPI

Kinetorehab Physical Therapy PLLC

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1811271299
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028117-1 Issued in NY
Legal business name
KINETOREHAB PHYSICAL THERAPY PLLC
Practice address
3201 Grand Concourse
Suite 1a
Bronx, NY 10468-1247
Phone
(718) 365-3747
Fax
(718) 365-3749
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Mrs. Shirley Palaban Agapito, PT
Title
Physical Therapist / Owner
Phone
(212) 365-4237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 028117-1 NY Primary

Addresses

Primary practice location

3201 Grand Concourse
Suite 1a
Bronx, NY 10468-1247

Mailing address

3201 Grand Concourse
Suite 1a
Bronx, NY 10468-1247
Phone (718) 365-3747

Other identifiers 1

IdentifierTypeStateIssuer
028117OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

3201 Grand Concourse
Apt 1A
Bronx, NY 10468
Phone (718) 365-3747

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1811271299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GRAND CONCOURSE",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681247",
            "telephone_number": "718-365-3747",
            "fax_number": "718-365-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GRAND CONCOURSE",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681247",
            "telephone_number": "718-365-3747",
            "fax_number": "718-365-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETOREHAB PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "AGAPITO",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "PALABAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "212-365-4237",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028117-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "028117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.