Individual provider · NPI-1
Jafar Al Kenany, DPT, ATC
Physical Therapist · Brooklyn, NY
NPI number1144041120
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1144041120
- Entity type
- Individual (NPI-1)
- Name
- Jafar Al Kenany
- Credential
- DPT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2024
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 054118 | NY | Yes |
| 225100000X | Physical Therapist | PT021400 | OH | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT007080 | OH |
Practice location
142 Prospect Park WBrooklyn, NY 11215-4506
Phone 929-560-9005
Mailing address
666 Woodmont AveBerkeley, CA 94708-1234
Phone 650-391-4986
Other practice locations
76 Lou Groza Blvd
Berea, OH 44017-1269
Berea, OH 44017-1269
Phone 650-391-4986
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