Organization Active NPI

Kindsouls Rehab LLC

  • Physical Therapist
  • Roselle Park, NJ
National Provider Identifier
1093473225
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Dec 28, 2021

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.