Kenael Segal, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6 Pompton Ave Ste 12
Cedar Grove, NJ 07009

Phone

(862) 253-1330

NPI assigned

Mar 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Lotus Physical Therapy and Wellness, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1366983777
  NPD (past) Authorized official

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1861933285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 POMPTON AVE STE 12",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 POMPTON AVE STE 12",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "07009",
            "telephone_number": "862-253-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Morris Rd",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070521629",
            "country_code": "US",
            "telephone_number": "862-253-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "KENAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Sargis, DAOM
• Ajita Sawant, OTR/L
• Howard Marc Schulman
• Steven Scrivo Jr., L.P.C.
• Alena Seepaul
• Alicia Seid, M.SLP CCC
• Ila H Shah
• Niki Shah
• Uma Sharma
• Michael Jay Shoobs, DMD

• Physical Therapist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.