Active NPI
Kathy Donovan, PT, DPT
- Physical Therapist
- New Brunswick, NJ
National Provider Identifier
1235346255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40 QA00129300
- Practice address
- 200 Somerset St
New Brunswick, NJ 08901-1942 - Phone
- (732) 258-7191
- NPI assigned
- May 17, 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 | 40 QA00129300 | NJ | Primary |
Addresses
Primary practice location
200 Somerset St
New Brunswick, NJ 08901-1942
Mailing address
3 Belmont CT
Red Bank, NJ 07701-5412
Phone (908) 902-1702
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 |
|---|---|---|---|
| 40 QA00129300 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1235346255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BELMONT CT",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015412",
"telephone_number": "908-902-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SOMERSET ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011942",
"telephone_number": "732-258-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "KATHY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40 QA00129300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.