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

Kevin J Seaboldt, PT

Individual provider Physical Therapist · NPI 1134364276

Kevin J Seaboldt, PT is a Physical Therapist in Private Practice in Granite Springs, New York. Graduated from New York Medical College in 1999, 27 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
New York Medical College
Licensed in
NY
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2 Raemont Rd
Granite Springs, NY 10527-1110
Phone: (914) 420-8547
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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 022951 (NY)

Record details

NPI number1134364276
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 3, 2008
Last updated in NPPESMarch 13, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1999 (27 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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