KENEFICK PHYSICAL THERAPY PLLC (NPI# 1003430018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003430018 |
| Entity Type | Organization |
| Organization Name | KENEFICK PHYSICAL THERAPY PLLC |
| Practice Address |
112 Noel Ave Brooklyn NY 11229-6421 |
| Practice Telephone | 9177559172 |
| Mailing Telephone | 9177559172 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | DR. KEVIN GERARD KENEFICK (OWNER) |
| Authorized Official Telephone | 9177559172 |
| Authorized Official Credential | PT, DPT, CMPT, M |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KENEFICK PHYSICAL THERAPY PLLC | 112 Noel Ave, Brooklyn, New York 11229 |
| Street Address |
112 NOEL AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1952917726 | Mauro Woods | Clinic/Center | 974 Greene Ave Apt 4a, Brooklyn, NY 11221-6313 | 2020-09-17 |
| 1740742097 | Tara Knutsen, Pt, P.C. | Clinic/Center | 346 Senator St, Brooklyn, NY 11220-5311 | 2019-04-04 |
| 1386106128 | Standard Care P.t. P.C. | Clinic/Center | 333 Greene Ave # Store339, Brooklyn, NY 11238-2295 | 2019-04-02 |
| 1467937961 | Metropolis Physical Therapy Pllc | Clinic/Center | 585 Bushwick Ave, Brooklyn, NY 11206-4628 | 2018-10-01 |
| 1194217216 | Kambiz Raoufian Physical Therapy Pllc | Clinic/Center | 2176 New York Ave, Brooklyn, NY 11210 | 2018-06-04 |
| 1427584630 | Equinox Physical Therapy, PC | Clinic/Center | 407 Rockaway Avenue, 2nd Floor, Brooklyn, NY 11212 | 2017-05-08 |
| 1588195408 | Spring Rehab Pt, PC. | Clinic/Center | 8881 24th Ave, 2nd Fl, Brooklyn, NY 11214-6501 | 2017-03-22 |
| 1053859207 | American Medical Company | Clinic/Center | 1671 W 10th St, Brooklyn, NY 11223-1104 | 2017-02-08 |
| 1093253775 | Hand By Hand Pt PC | Clinic/Center | 63 73rd Street, Brooklyn, NY 11209 | 2017-02-02 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.