Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE KEITH TAGO GUIVENCAN, PT, DPT
Active Sole ProprietorSTEPHANIE KEITH TAGO GUIVENCAN, PT, DPT is a Physical Therapy Assistant healthcare provider located in FOREST HILLS, New York. NPI 1881340974 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FOREST HILLS, NY
Registration Details
- NPI Number
- 1881340974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2022 (4.4864934921627 yrs)
- Last Updated
- Nov 2, 2025
- License
-
044779-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10825 63RD AVEFOREST HILLS, NY, 113751342Browse NY providers · Browse ZIP 11375
- Phone
- 7188962011
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FOREST HILLS, NY
| Name | Credential | NPI |
|---|---|---|
| DANIEL H ARYEH | PT | 1184623571 |
| MS. ANNIE BLACK | M. A., P. T. | 1063412286 |
| MRS. FERN ROBIN TOBACK | PT | 1497744460 |
| MS. ROWENA SALVANERA | P.T | 1649218330 |
| MR. MITCHELL BERKOWITZ | P.T. | 1447290754 |
| MR. BORIS I PALTIELOV | P.T. | 1134155492 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.