Active NPIIndividual provider

Steven De Kenipp, PTA

Physical Therapy Assistant in Jersey City, New Jersey

NPI Number1417683574
Practice location
115 Columbus Dr Ste 300, Jersey City, NJ 07302-3551
Fax
201-359-3336
Last updated
July 29, 2022

Steven De Kenipp is a Physical Therapy Assistant based in Jersey City, NJ. Steven De Kenipp practices in Jersey City, NJ and has the professional credentials of PTA. The NPI Number for Steven De Kenipp is 1417683574 and holds a License No. 40QB00374200 (NJ). The current practice location address for Steven De Kenipp is 115 Columbus Dr Ste 300, Jersey City, NJ 07302-3551 and can be reached out via phone at 201-366-1118 and via fax at 201-359-3336.

Provider Profile Details

NPI Number
1417683574
Provider Name
Steven De Kenipp
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
115 Columbus Dr Ste 300, Jersey City, NJ 07302-3551
Phone Number
201-366-1118
Fax Number
201-359-3336
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2022
Last Update Date
July 29, 2022
Certification Date
July 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Columbus Dr Ste 300
Jersey City, NJ 07302-3551
Zip
07302-3551
Phone Number
201-366-1118
Fax Number
201-359-3336
Jersey City, NJ 07302Get directions →

Provider Business Mailing Address Details

Address
115 Columbus Dr Ste 300
Jersey City, NJ 07302-3551
City
Jersey City
State
NJ
Zip
07302-3551
Phone Number
201-366-1118
Fax Number
201-359-3336

License Information

License Number
40QB00374200
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Steven De Kenipp, PTA?

The NPI number of Steven De Kenipp, PTA is 1417683574. It was assigned on July 29, 2022 and is currently active in the NPPES registry.

What is the specialty of Steven De Kenipp, PTA?

Steven De Kenipp, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00374200.

Where does Steven De Kenipp, PTA practice?

The practice location is 115 Columbus Dr Ste 300, Jersey City, NJ 07302-3551. The office can be reached at 201-366-1118 (phone) or 201-359-3336 (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 1417683574 directly on the NPPES registry website.

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