Active NPI
K2 Physical Therapy LLC
- Physical Therapist
- Ho Ho Kus, NJ
National Provider Identifier
1104535673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- K2 PHYSICAL THERAPY LLC
- Practice address
- 10 Dogwood LN
Ho Ho Kus, NJ 07423-1653 - Phone
- (201) 230-2357
- NPI assigned
- Nov 23, 2022
- 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
- Brendan John Kirk, DPT
- Title
- Owner
- Phone
- (201) 230-2357
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10 Dogwood LN
Ho Ho Kus, NJ 07423-1653
Mailing address
10 Dogwood LN
Ho Ho Kus, NJ 07423-1653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0991759 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
245 E Main St
Lowr
Ramsey, NJ 07446
Phone (551) 308-5355
245 E Main St
Ste 7
Ramsey, NJ 07446
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hawthorne, NJ
- NPI 1285067470
-
- Physical Therapist
- Hackensack, NJ
- NPI 1174072706
-
- Physical Therapist
- Wyckoff, NJ
- NPI 1447720081
-
- Physical Therapist
- Hackensack, NJ
- NPI 1508698622
-
- Physical Therapist
- Franklin Lakes, NJ
- NPI 1881256709
-
- Physical Therapist
- River Edge, NJ
- NPI 1558837732
-
- Physical Therapist
- Glen Rock, NJ
- NPI 1548810856
-
- Physical Therapist
- Paramus, NJ
- NPI 1285401117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1104535673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DOGWOOD LN",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074231653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DOGWOOD LN",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074231653",
"telephone_number": "201-230-2357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K2 PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-23",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "BRENDAN",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-230-2357",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0991759",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ho Ho Kus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.