STEPHANIE KEITH TAGO GUIVENCAN PT, DPT
NPI 1881340974
Physical Therapist in Forest Hills, NY

Q: What is Stephanie Keith Guivencan's NPI number?

The NPI number for Stephanie Keith Guivencan is 1881340974. It was assigned to this individual provider in the NPPES registry on February 27, 2022.

Q: What is Stephanie Keith Guivencan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Active since February 27, 2022

10825 63RD AVE, FOREST HILLS, NY 11375(718) 896-2011 Get Directions Write a Review

NPPES record last updated: November 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Feb 27, 2022 (2 updates tracked since 2022).

On this page

About Stephanie Keith Tago Guivencan Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE KEITH TAGO GUIVENCAN PT, DPT (NPI 1881340974) is an individual physical therapist in Forest Hills, New York, licensed in New York (044779-01) and active in the NPI registry since February 2022. She maintains a secondary practice location in Bronx and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2023).

NPPES Registry Identity

NPI1881340974

Entity TypeIndividualFemale

Primary Taxonomy225100000X

Provider Legal NameSTEPHANIE KEITH TAGO GUIVENCANCredential: PT, DPT

Location Address10825 63RD AVEForest Hills, NY 11375-1342

Mailing Address6121 Saunders StRego Park, NY 11374-1026 · (929) 235-4336

Phone(718) 896-2011

Sole ProprietorYes

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2023

Enumeration DateFebruary 27, 2022

Last NPPES UpdateNovember 2, 20252 updates tracked since enumeration

NPPES CertifiedNovember 2, 2025

✔ NPI 1881340974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225100000X

License✔ Licensed in NY · 044779-01

Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

Diagnose and manage movement dysfunction and enhance physical and functional abilities.
Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.

PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

10825 63RD AVE, Forest Hills, NY 11375

Open in Google Maps ↗

Secondary Practice Location 1

Location 12488 Grand ConcourseBronx, NY 10458-5203 · Phone (718) 733-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Keith Tago Guivencan Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254797111

PECOS Enrollment IDI20230518001541

Medicare Billing Reassignments

Medicare enrollment records show Stephanie Keith Guivencan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fresh Pond Physical Therapy, P.C

3.2 mi

Physical Therapy

6805 FRESH POND RD
Ridgewood, NY 11385

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Fresh Pond Physical Therapy PC
34 clinicians in this Medicare group

NPI 1508844036 (718) 456-2545

Chang Health Physical Therapy P.C.

9.1 mi

Physical Therapy

2488 GRAND CONCOURSE # 206
Bronx, NY 10458

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Chang Health Physical Therapy PC
2 clinicians in this Medicare group

NPI 1376006668 (516) 472-8761

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

2,740 services171 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

1,166 services170 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

530 services119 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

76 services64 patients

Re-evaluation for physical therapy, typically 20 minutes 97164

A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.

62 services55 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

49 services48 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA LOUISE NIEVES PACIA

Clinic/Center (Physical Therapy)