Individual provider · Type 1 NPI

Steven De Kenipp, PTA

Physical Therapy Assistant · Jersey City, NJ

NPI number 1417683574 Active

Practice location

115 Columbus Dr Ste 300
Jersey City, NJ 07302-3551

Fax (201) 359-3336

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	40QB00374200 (NJ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1417683574

Steven De Kenipp, PTA's National Provider Identifier is 1417683574, issued on Jul 29, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jersey City, NJ. The record was last updated on Jul 29, 2022.