Patrick Richad Kilduff, PT, DPT, LSVT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01765900 Issued in NJ

Practice address

755 Memorial Pkwy Ste 103
Phillipsburg, NJ 08865-2774

Phone

(908) 847-9780

Fax

(908) 847-9786

NPI assigned

Dec 21, 2017

Last updated

Dec 21, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. Luke's Warren Hospital, Inc.

  • Psychiatric Hospital Unit
  • Phillipsburg, NJ
  • NPI 1437155595
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1265948681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 103",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652774",
            "telephone_number": "908-847-9780",
            "fax_number": "908-847-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 103",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652774",
            "telephone_number": "908-847-9780",
            "fax_number": "908-847-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDUFF",
        "first_name": "PATRICK",
        "middle_name": "RICHAD",
        "credential": "PT, DPT, LSVT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01765900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Kenney, ACSW, LCSW
• Kessler Institute for Rehabilitation Inc
• Kessler Institute for Rehabilitation Inc (Kessler Rehabilitation Center)
• KGH Psychology Practice LLC
• Samantha Kiesling
• Joo Yeon Kim, DO
• Sam Kwang Kim, M.D.
• Seohyun Kim
• Kishor Nar MD PC
• Sten I Kjellberg, MD

• Physical Therapist in Phillipsburg, NJ
• Providers in Phillipsburg, 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 Dec 21, 2017; 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.