MEDICARE: KRISTYN CHENG PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1356147813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTYN CHENG PT, DPT

Provider Business Mailing Address
First Line	:	8 W 36TH ST FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-9775
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 W 36TH ST FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-9775
Country	:	US
Telephone Number	:	929-777-3883
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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