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

Stephanie Keith Tago Guivencan, PT, DPT

Individual provider Physical Therapist · NPI 1881340974

Stephanie Keith Tago Guivencan, PT, DPT is a Physical Therapist in Private Practice in Forest Hills, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2023, 3 years ago. Practices with Chang Health Physical Therapy PC, a 2-clinician group and works from 2 locations. Licensed in New York.

Years since qualifying
3
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
NY
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10825 63rd Ave
Forest Hills, NY 11375-1342
Phone: (718) 896-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2488 Grand Concourse, Bronx, NY 10458-5203 — (718) 733-1000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 044779-01 (NY)

Record details

NPI number1881340974
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedFebruary 27, 2022
Last updated in NPPESNovember 2, 2025
Certification dateNovember 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2023 (3 years in practice)
Group practice Chang Health Physical Therapy Pc — 2 clinicians
Accepts Medicare assignment Not indicated

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