KD Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

024246-1 Issued in NY

Legal business name

KD PHYSICAL THERAPY PLLC

Practice address

62 Mohican PK Ave
Dobbs Ferry, NY 10522-2309

Phone

(914) 844-7580

Fax

(914) 478-3106

NPI assigned

Dec 9, 2011

Last updated

Mar 6, 2012By 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

Mrs. Kerri Demitrovic, MPTNPI 1912097296

Title

Physical Therapist

Phone

(914) 844-7580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Kerri Yvonne Demitrovic, P.T.

  • Physical Therapist
  • Dobbs Ferry, NY
  • NPI 1912097296
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1942578547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MOHICAN PK AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222309",
            "telephone_number": "914-844-7580",
            "fax_number": "914-478-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MOHICAN PK AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222309",
            "telephone_number": "914-844-7580",
            "fax_number": "914-478-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "DEMITROVIC",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "914-844-7580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "024246-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Ann-Marie Jones
• Crystal Kaminsky
• Minjung Kang, N.P
• Mehmet Kaptan
• Jalanda Karslian, LMSW
• Elizabeth Waterman Keegan, MSW CANDIDATE
• Pond R Kelemen
• Dorothy Ann Kelly, SLP
• Nora Kelly
• Mark F Kenny, CPO

• Physical Therapy Clinic/Center in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.