NPIMap

Organization Active NPI

Kimberly Physical Therapy

  • Physical Therapist
  • Little Falls, NJ
National Provider Identifier
1134326374
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00520400 Issued in NJ
Legal business name
KIMBERLY PHYSICAL THERAPY
Practice address
153 Route 23
Little Falls, NJ 07424
Phone
(201) 244-8550
Fax
(484) 771-8543
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Edilberto O Estomo
Title
Owner
Phone
(201) 244-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00520400 NJ Primary

Addresses

Primary practice location

153 Route 23
Little Falls, NJ 07424

Mailing address

PO Box 29
Edgewater, NJ 07020-0029
Phone (201) 244-8550

National Provider Directory

National Provider Directory
Tax ID family
Kimberly Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1134326374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070200029",
            "telephone_number": "201-244-8550",
            "fax_number": "484-771-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 ROUTE 23",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "201-244-8550",
            "fax_number": "484-771-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "ESTOMO",
        "authorized_official_first_name": "EDILBERTO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-244-8550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00520400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.