Active NPI
Kristine I Nylund, PT
- Physical Therapist
- Franklin Lakes, NJ
National Provider Identifier
1194923318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00299800
- Practice address
- 795 Franklin Ave
1St Floor
Franklin Lakes, NJ 07417-1368 - Phone
- (201) 847-8585
- Fax
- (201) 847-0985
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00299800 | NJ | Primary |
Addresses
Primary practice location
795 Franklin Ave
1St Floor
Franklin Lakes, NJ 07417-1368
Mailing address
4175 Veterans Memorial Hwy
Suite 202
Ronkonkoma, NY 11779-7639
Phone (631) 580-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004123 | NY | MD | Mental Health Counselor |
| 40QA00299800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Physical Therapy,LLC | Physical Therapist | Past | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Therapy Clinic/Center
- Oradell, NJ
- NPI 1033105325
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1194923318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 VETERANS MEMORIAL HWY",
"address_2": "SUITE 202",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797639",
"telephone_number": "631-580-5200",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 FRANKLIN AVE",
"address_2": "1ST FLOOR",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074171368",
"telephone_number": "201-847-8585",
"fax_number": "201-847-0985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYLUND",
"first_name": "KRISTINE",
"middle_name": "I",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00299800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.