Active NPIIndividual provider

Kenedy Degracia, PT, DPT

Physical Therapist in Bedford, New York

NPI Number1104594308
Practice location
434 Old Post RD, Bedford, NY 10506-1018
Fax
914-234-4446
Last updated
April 29, 2025

Kenedy Degracia is a Physical Therapist based in Bedford, NY. Kenedy Degracia practices in Bedford, NY and has the professional credentials of PT, DPT. The NPI Number for Kenedy Degracia is 1104594308 and holds a License No. 40QA02039300 (NJ). The current practice location address for Kenedy Degracia is 434 Old Post RD, Bedford, NY 10506-1018 and can be reached out via phone at 914-234-4445 and via fax at 914-234-4446.

Provider Profile Details

NPI Number
1104594308
Provider Name
Kenedy Degracia
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
434 Old Post RD, Bedford, NY 10506-1018
Phone Number
914-234-4445
Fax Number
914-234-4446
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Kenedy Fraleigh (Former Name)
Provider Enumeration Date
September 1, 2021
Last Update Date
April 29, 2025
Certification Date
April 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
434 Old Post RD
Bedford, NY 10506-1018
Zip
10506-1018
Phone Number
914-234-4445
Fax Number
914-234-4446
Bedford, NY 10506Get 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 (1)
40QA02039300
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
054094
License State (2)
NY
Taxonomy (2)
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 Kenedy Degracia, PT, DPT?

The NPI number of Kenedy Degracia, PT, DPT is 1104594308. It was assigned on September 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Kenedy Degracia, PT, DPT?

Kenedy Degracia, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02039300.

Where does Kenedy Degracia, PT, DPT practice?

The practice location is 434 Old Post RD, Bedford, NY 10506-1018. The office can be reached at 914-234-4445 (phone) or 914-234-4446 (fax).

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 1104594308 directly on the NPPES registry website.

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