MEDICARE: KENEISHA A SINCLAIR PT

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	PT032280	PA

General Provider Information

NPI Number	:	1750130175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENEISHA A SINCLAIR PT

Provider Business Mailing Address
First Line	:	1002 PHILADELPHIA AVE
Second Line	:
City	:	NORTHERN CAMBRIA
State	:	PA
Zip	:	15714-1339
Country	:	US
Telephone Number	:	814-948-7084
Fax Number	:	814-948-7076

Provider Business Practice Location Address
First Line	:	930 MOORE ST
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-1837
Country	:	US
Telephone Number	:	814-506-8356
Fax Number	:	814-506-8480

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

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	12/11/2025

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Directions to “ KENEISHA A SINCLAIR PT” Practice Location

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