Active NPI
Rebecca Gold Kashdan, PT, DPT
- Physical Therapist
- Allentown, NJ
National Provider Identifier
1073989539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01620800
- Practice address
- 1278 Yardville Allentown Rd
Allentown, NJ 08501-1866 - Phone
- (609) 738-3143
- NPI assigned
- Aug 18, 2015
- Last updated
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01620800 | NJ | Primary |
Addresses
Primary practice location
1278 Yardville Allentown Rd
Allentown, NJ 08501-1866
Mailing address
21 Clarence Ave
Long Branch, NJ 07740-4818
Phone (732) 927-0796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01620800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipta Clinical, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1278 Yardville Allentown Rd
Ste 3
Allentown, NJ 08501
Phone (609) 738-3143
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1073989539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CLARENCE AVE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077404818",
"telephone_number": "732-927-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 YARDVILLE ALLENTOWN RD",
"city": "ALLENTOWN",
"state": "NJ",
"postal_code": "085011866",
"telephone_number": "609-738-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHDAN",
"first_name": "REBECCA",
"middle_name": "GOLD",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01620800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.