Active NPIIndividual provider

Joel P Kanneth, PT, DPT

Physical Therapist in Pomona, New York

NPI Number1083323299
Practice location
14 Thiells Mount Ivy RD Ste 2, Pomona, NY 10970-3038
Fax
—
Last updated
November 16, 2022

Joel Paul Kanneth is a Physical Therapist based in Pomona, NY. Joel Paul Kanneth practices in Pomona, NY and has the professional credentials of PT, DPT. The NPI Number for Joel Paul Kanneth is 1083323299 and holds a License No. 049785 (NY). The current practice location address for Joel Paul Kanneth is 14 Thiells Mount Ivy RD Ste 2, Pomona, NY 10970-3038 and can be reached out via phone at 845-694-8808.

Provider Profile Details

NPI Number
1083323299
Provider Name
Joel Paul Kanneth
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
14 Thiells Mount Ivy RD Ste 2, Pomona, NY 10970-3038
Phone Number
845-694-8808
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2022
Last Update Date
November 16, 2022
Certification Date
November 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Thiells Mount Ivy RD Ste 2
Pomona, NY 10970-3038
City
Pomona
Zip
10970-3038
Phone Number
845-694-8808
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
16 Maybrook RD Ste L
Campbell Hall, NY 10916-2741
City
Campbell Hall
State
NY
Zip
10916-2741
Phone Number
845-636-4344

License Information

License Number
049785
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joel P Kanneth, PT, DPT?

The NPI number of Joel P Kanneth, PT, DPT is 1083323299. It was assigned on November 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Joel P Kanneth, PT, DPT?

Joel P Kanneth, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 049785.

Where does Joel P Kanneth, PT, DPT practice?

The practice location is 14 Thiells Mount Ivy RD Ste 2, Pomona, NY 10970-3038. The office can be reached at 845-694-8808 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083323299 directly on the NPPES registry website.

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