David Michael Kittle, PT, DPT
Individual provider Active NPI Physical Therapist · Ewing, NJ
NPI 1003199837 · NPPES record last updated Sep 28, 2011
Key facts
- NPI
- 1003199837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01418100 (NJ)
- Practice address
- 340 Scotch Rd
Ewing, NJ 08628-1300 - Phone
- (609) 924-5044
- Fax
- (609) 924-8532
- NPI assigned
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01418100 | NJ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01418100 | NJ | Yes |
Addresses
Primary practice location
340 Scotch Rd
Ewing, NJ 08628-1300
Mailing address
43 W Linwood Ave
Maple Shade, NJ 08052-2319
Other providers in Ewing, NJ
- Sairah Khokher
- Tonnesha Kidd
- Telina Erin King
- Thomas William Kirchenheiter
- Agnes Michelle Kite
- Nadine Klass
- Rachael Knutson
- Karen Michelle Kohaut
- Scott Kolander
- Jasminka Kopanja
All providers in Ewing, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.