Kenetic Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KENETIC PHYSICAL THERAPY PC

Practice address

21955 74TH Ave FL 2
Oakland Gardens, NY 11364-3031

Phone

(646) 420-8374

NPI assigned

Mar 2, 2020

Last updated

Mar 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jieke Ke, DPTNPI 1326417866

Title

Owner

Phone

(646) 420-8374

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jieke Ke

  • Physical Therapist
  • Great Neck, NY
  • NPI 1326417866
  Medicare reassignment Care Compare group NPD Authorized official
• Twinkle V Shah

  • Physical Therapist
  • Mineola, NY
  • NPI 1699369017
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1902430754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21955 74TH AVE FL 2",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643031",
            "telephone_number": "646-420-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21955 74TH AVE FL 2",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643031",
            "telephone_number": "646-420-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENETIC PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "KE",
        "authorized_official_first_name": "JIEKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-420-8374",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irena Karanetz, M.D.
• Nicholas Fotios Karoutsos, DPM
• Sarbjit Kaur, OT
• Simran Kaur
• Joan Kavadlo-Cohen, MSPED
• Paige Kenis
• Kenneth R. Siva, D.D.S., P.C.
• Annie Keung, D.M.D.
• Dmitry Khodik, M.ED.
• Tatyana Khodik, M.S., OTR/L

• Physical Therapist in Oakland Gardens, NY
• Providers in Oakland Gardens, 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 Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.