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

Kendall Black

Individual provider Physical Therapist · NPI 1790966984

Kendall Black is a Physical Therapist in Private Practice in New York, New York. Qualified in 2007, 19 years ago. Practices with C O R E Physical Therapy, PLLC, a 4-clinician group. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

1317 3rd Ave 6th Fl
New York, NY 10021-2995
Phone: (212) 288-2242
Fax: (212) 288-4388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 029765-1 (NY)

Record details

NPI number1790966984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2007
Last updated in NPPESNovember 16, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice C O R E Physical Therapy, Pllc — 4 clinicians
Accepts Medicare assignment Not indicated

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