Individual provider Active NPI

Kaley Heck, PT, ATC

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1073589776
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00930600 Issued in NJ
Practice address
76 W Jimmie Leeds Rd
76 West Park Center, Suite 401
Galloway, NJ 08205-9411
Phone
(609) 748-5193
Fax
(609) 748-5197
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00930600 NJ Primary
Athletic Trainer 2255A2300X 25MT00122700 NJ

Addresses

Primary practice location

76 W Jimmie Leeds Rd
76 West Park Center, Suite 401
Galloway, NJ 08205-9411

Mailing address

1846 Country Bridge Rd
Millville, NJ 08332-1115
Phone (856) 327-0241

Other names 1

  • Ms. Kaley Abato Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911001131 NJ Practitioner - Physical Therapist in Private Practice 1759447725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics SPT IncGroup PAC ID 7113834102, 101 clinicians
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Waretown, NJ 08758-1762
Phone (609) 693-1282

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062-2623
Phone (856) 478-0275

4622 Black Horse Pike
Mays Landing, NJ 08330-3214
Phone (609) 909-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MT00122700NJMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc. Current Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Rehabclinics SPT Inc CurrentSince Jul 21, 2019 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jul 21, 2019 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

76 W Jimmie Leeds Rd
Ste 401
Galloway, NJ 08205
Phone (609) 748-5193

4622 Black Horse Pike
Mays Landing, NJ 08330
Phone (609) 893-1200

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1073589776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 COUNTRY BRIDGE RD",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321115",
            "telephone_number": "856-327-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD",
            "address_2": "76 WEST PARK CENTER, SUITE 401",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059411",
            "telephone_number": "609-748-5193",
            "fax_number": "609-748-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "KALEY",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00930600",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00122700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALEY",
            "last_name": "ABATO",
            "prefix": "MS.",
            "credential": "PT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.