Active NPI
Kindsouls Rehab LLC
- Physical Therapist
- Roselle Park, NJ
National Provider Identifier
1093473225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KINDSOULS REHAB LLC
- Practice address
- 430 East Westfield Avenue Kindsouls Rehab
Roselle Park, NJ 07204-0793 - Phone
- (908) 894-8317
- NPI assigned
- Dec 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin M Sonneborn
- Title
- Owner Physical Therapist
- Phone
- (908) 894-8317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
430 East Westfield Avenue Kindsouls Rehab
Roselle Park, NJ 07204-0793
Mailing address
4 Tiger Hill Dr
Gladstone, NJ 07934-2109
Phone (908) 894-8317
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1093473225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 TIGER HILL DR",
"city": "GLADSTONE",
"state": "NJ",
"postal_code": "079342109",
"telephone_number": "908-894-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 EAST WESTFIELD AVENUE KINDSOULS REHAB",
"city": "ROSELLE PARK",
"state": "NJ",
"postal_code": "072040793",
"telephone_number": "908-894-8317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDSOULS REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "SONNEBORN",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
"authorized_official_telephone_number": "908-894-8317"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roselle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.