Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kinetic PT, OT, PLLC

Organization Physical Therapist · NPI 1306498530

Kinetic PT, OT, PLLC is a Physical Therapist in Sunnyside, New York. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4340 41st St
Sunnyside, NY 11104-3328
Phone: (929) 462-0214
Fax: (929) 462-0215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1306498530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeargian Decangchon — Owner · (347) 260-8449
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 9, 2019
Mailing address4340 41st St, Sunnyside, NY 11104-3328

Other providers in Sunnyside