Kathryn Poklemba, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA04035 Issued in NJ

Practice address

55 Birch Hill Rd
Freehold, NJ 07728-1345

Phone

(732) 409-6094

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hackensack Meridian Outpatient Services, Inc.

  dba Hackensack Meridian Rehabilitation Clark

  • Physical Therapist
  • Clark, NJ
  • NPI 1982381026
  Medicare reassignment NPD
• Hackensack Meridian Outpatient Services, Inc.

  dba Hackensack Meridian Rehabilitation Eatontown

  • Physical Therapist
  • Eatontown, NJ
  • NPI 1336829670
  NPD
• Hackensack Meridian Outpatient Services, Inc.

  dba Hackensack Meridian Imaging Freehold

  • Radiology Clinic/Center
  • Freehold, NJ
  • NPI 1396569125
  NPD
• Marlboro Physical Therapy, PA

  • Physical Therapist
  • Morganville, NJ
  • NPI 1922068337
  NPD (past)
• Take Charge Rehab & Wellness, PC

  • Physical Therapy Clinic/Center
  • Morganville, NJ
  • NPI 1831782622

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023165388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BIRCH HILL RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281345",
            "telephone_number": "732-409-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BIRCH HILL RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281345",
            "telephone_number": "732-409-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKLEMBA",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA04035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Piltz, LSW
• Jackeline Pinkhasova
• Denise Marie Piotrowski, D.C.
• Michael Piscopiello, MD
• Poets Square Pharmacy Inc (Poets Pharmacy)
• Nicole Policastro
• Martin Stuart Pollack, DC
• Karen Pollak, P.T.
• Pollard Chiropractic Center
• Michael Lee Pollard, D.C.

• Physical Therapist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.