Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jake Momanyi, PT

Individual provider Physical Therapist · NPI 1881598639

Jake Momanyi, PT is a Physical Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

1415 Richmond Ave
Staten Island, NY 10314-1553
Phone: (877) 407-3422
Fax: (877) 407-4329
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 056515 (NY)

Record details

NPI number1881598639
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 6, 2026
Last updated in NPPESOctober 6, 2026
Certification dateOctober 6, 2026

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