Karen Jacklyn Acquaviva, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00167700 Issued in NJ

Practice address

7 Alaska Ave
Jackson, NJ 08527-1801

Phone

(732) 233-4876

NPI assigned

May 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184825622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALASKA AVE",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271801",
            "telephone_number": "732-233-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALASKA AVE",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271801",
            "telephone_number": "732-233-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUAVIVA",
        "first_name": "KAREN",
        "middle_name": "JACKLYN",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00167700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Plus Health Care LLC
• Suzann Abady
• Able ABA
• Penina C. Abraham, LMFT
• Abria ABA Services NJ LLC (Abria ABA Services NJ)
• Acute Care at Home PC
• Advanced Dental Care of Jackson LLC
• Advanced Dentistry of Jackson, LLC
• Advanced Spine Care and Physical Rehabilitation
• Advanced Spine Care and Physical Rehabilitation,LLC

• Physical Therapy Assistant in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.