# KINETICS PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992233357
- **Authorized official:** DR. PEACHY MAY REYES (PRESIDENT)
- **Authorized official phone:** (917) 292-3130

## Contact information

- **Practice address:** 1440 OUTLOOK AVE APT 1, BRONX, NY 10465-1157
- **Practice address phone:** (917) 292-3130
- **Mailing address:** 1440 OUTLOOK AVE APT 1, BRONX, NY 10465-1157
- **Mailing address phone:** (917) 292-3130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | 020513 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 20513 | NY | Yes |

## Other

- **Enumeration date:** 05/30/2017
- **Last updated:** 07/21/2022