Provider Demographics
NPI:1750196820
Name:JONES, KAELANI (DPT)
Entity type:Individual
Prefix:DR
First Name:KAELANI
Middle Name:
Last Name:JONES
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BARON DE HIRSCH RD
Mailing Address - Street 2:PO BOX 8
Mailing Address - City:CROMPOND
Mailing Address - State:NY
Mailing Address - Zip Code:10517
Mailing Address - Country:US
Mailing Address - Phone:760-716-8227
Mailing Address - Fax:
Practice Address - Street 1:584 N STATE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1522
Practice Address - Country:US
Practice Address - Phone:914-762-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053936225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist