Provider Demographics
NPI:1174777155
Name:KINESIS PHYSICAL THERAPY AND REHABILITATION PC
Entity type:Organization
Organization Name:KINESIS PHYSICAL THERAPY AND REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNIOTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-915-0332
Mailing Address - Street 1:4359 147TH ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1739
Mailing Address - Country:US
Mailing Address - Phone:718-353-1700
Mailing Address - Fax:516-502-4492
Practice Address - Street 1:43-59 147TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1739
Practice Address - Country:US
Practice Address - Phone:718-353-1700
Practice Address - Fax:516-502-4492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027482225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty