Individual provider · Type 1 NPI

Stephanie Keith Tago Guivencan, PT, DPT

Physical Therapist · Forest Hills, NY

NPI number 1881340974 Active

Practice location

10825 63rd Ave
Forest Hills, NY 11375-1342

Call (718) 896-2011 Map

Mailing address

6121 Saunders St
Rego Park, NY 11374-1026

Other practice locations

  • 2488 Grand Concourse, Bronx, NY 10458-5203 · (718) 733-1000

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X044779-01 (NY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

7 other providers at this address

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About NPI 1881340974

Stephanie Keith Tago Guivencan, PT, DPT's National Provider Identifier is 1881340974, issued on Feb 27, 2022. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Forest Hills, NY. The record was last updated on Nov 2, 2025.