Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KINETIC PT, OT, PLLC
Active
Organization
KINETIC PT, OT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEARGIAN FORMACION DECANGCHON PT, DPT (OWNER)
(347) 260-8449
Entity
Organization
Contact information
Practice address
4340 41ST ST, SUNNYSIDE, NY 11104-3328
(929) 462-0214
(929) 462-0215
Mailing address
4340 41ST ST, SUNNYSIDE, NY 11104-3328
(929) 462-0214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up