Provider Demographics
NPI:1699468355
Name:KE PT & OT PLLC
Entity type:Organization
Organization Name:KE PT & OT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTIFOGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:929-269-2505
Mailing Address - Street 1:50 E 42ND ST RM 2100
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5415
Mailing Address - Country:US
Mailing Address - Phone:929-269-2505
Mailing Address - Fax:929-290-0350
Practice Address - Street 1:50 E 42ND ST RM 2100
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5415
Practice Address - Country:US
Practice Address - Phone:929-269-2505
Practice Address - Fax:929-290-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty