Kinetic PT, OT, PLLC
NPI 1306498530 · Physical Therapist · Sunnyside, NY
Kinetic PT, OT, PLLC is a Physical Therapist organization in Sunnyside, NY (NPI 1306498530).
Provider details
- NPI number
- 1306498530
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jeargian Decangchon, Owner(347) 260-8449
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2019-07-09
Frequently asked questions
- What is Kinetic PT, OT, PLLC's NPI number?
- Kinetic PT, OT, PLLC's National Provider Identifier (NPI) is 1306498530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kinetic PT, OT, PLLC?
- Kinetic PT, OT, PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kinetic PT, OT, PLLC located?
- Kinetic PT, OT, PLLC's practice location on file with NPPES is 4340 41st St, Sunnyside, NY 11104-3328.
- What is Kinetic PT, OT, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kinetic PT, OT, PLLC is (929) 462-0214.
- Who is the authorized official for Kinetic PT, OT, PLLC?
- The authorized official listed on Kinetic PT, OT, PLLC's NPPES record is Jeargian Decangchon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kinetic PT, OT, PLLC's NPI active?
- Yes — Kinetic PT, OT, PLLC's NPI (1306498530) is active in the NPPES registry as of the last update on 2019-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.