IndividualActive
Jeff Konin, PT, PHD, ATC
NPI 1417050402 · Sports Physical Therapist · Kingston, RI
Provider details
- NPI number
- 1417050402
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, PHD, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 02660 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
25 W Independence Way
University of Rhode Island
Kingston, RI 02881-1126
Phone: (401) 874-5627
Approximate (ZIP-level) locationGet directions
Mailing address
25 W Independence Way
Kingston, RI 02881-1126
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2016-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.