Individual provider Active NPI

Kristen M Aquila, DPT

  • Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1205901014
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01133400 Issued in NJ
Practice address
2420 Highway 34
Manasquan, NJ 08736-1808
Phone
(732) 223-2873
Fax
(732) 223-5726
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01133400 NJ Primary

Addresses

Primary practice location

2420 Highway 34
Manasquan, NJ 08736-1808

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

2646 Boiling Springs Rd
Boiling Springs, SC 29316-6002
Phone (864) 345-6714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230109001928 SC Practitioner - Physical Therapist in Private Practice 8426123514 Reassigns benefits to 2 organizations
I20250403003248 NC Practitioner - Physical Therapist in Private Practice 8426123514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragon Outpatient Rehabilitation Services LLCGroup PAC ID 8022272848, 199 clinicians
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

2065 McCrays Mill Rd
Sumter, SC 29154-6111
Phone (502) 213-7575

2563 N Fraser St
Georgetown, SC 29440-6411
Phone (843) 492-4674

2628 N Fraser St
C/O the Crossings of Georgetown
Georgetown, SC 29440-6946
Phone (984) 232-6664

2646 Boiling Springs Rd
Boiling Springs, SC 29316-6002
Phone (864) 599-0799

2720 Country Club Rd
Spartanburg, SC 29302-4473
Phone (864) 991-3800

935 Page St
Mt Pleasant, NC 28124-9735
Phone (704) 550-3527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Nov 14, 2022 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572

935 Page St
Mt Pleasant, NC 28124
Phone (704) 346-2923

2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602

612 China Grove Hwy
Rockwell, NC 28138
Phone (704) 279-5300

2646 Boiling Springs Rd
Boiling Springs, SC 29316
Phone (864) 345-6714

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2065 McCrays Mill Rd
Sumter, SC 29154
Phone (502) 213-7575

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1205901014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 HIGHWAY 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361808",
            "telephone_number": "732-223-2873",
            "fax_number": "732-223-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2646 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "SC",
            "postal_code": "293166002",
            "country_code": "US",
            "telephone_number": "864-345-6714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AQUILA",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01133400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.