Danial Khan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01728300 Issued in NJ

Practice address

57 Glacier Dr
Berlin, NJ 08009-9377

Phone

(732) 614-2779

NPI assigned

Jul 19, 2017

Reactivated

Nov 18, 2019

Last updated

Mar 29, 2026By the provider in NPPES

Sex

Male

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pramukh Medical Services LLCGroup PAC ID 3072959287, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pramukh Medical Services LLC

  dba Fyzical Therapy and Balance Center

  • Physical Therapist
  • Delran, NJ
  • NPI 1942063094
  Medicare reassignment Care Compare group NPD
• Bespoke Rehab

  dba Epic Physical Therapy

  • Physical Therapy Clinic/Center
  • Berlin, NJ
  • NPI 1245952738
  Medicare reassignment Authorized official
• John V. Figurelli Chiropractic, LLC

  • Chiropractor
  • Hazlet, NJ
  • NPI 1245697853

  Physical Therapist

  Medicare reassignment NPD
• Pramukh Medical Services LLC

  dba Fyzical Therapy and Balance Center

  • Physical Therapy Clinic/Center
  • Toms River, NJ
  • NPI 1003671199
  NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1245753482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 GLACIER DR",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099377",
            "telephone_number": "848-342-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 GLACIER DR",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099377",
            "telephone_number": "732-614-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8008 Route 130 Ste A100",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "080751869",
            "country_code": "US",
            "telephone_number": "856-444-8405",
            "fax_number": "856-444-8418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "DANIAL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "deactivation_date": "2017-12-05",
        "reactivation_date": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01728300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith L. Dunoff, DMD, PA (Diversified Dental Services)
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Joseph E. Kernizan, MD
• Nabiha Khan, LSW
• Lisa Kilburg
• Lori King, MS, OTR/L
• Sean Gerard King, PT, DPT
• Susan F Kirshner, PT

• Physical Therapist in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; 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.