Individual provider Active NPI

Kasey Anne Radichel, DPT

  • Physical Therapist
  • Westampton, NJ
National Provider Identifier
1295569416
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02284000 Issued in NJ
Practice address
101 Burrs Rd Ste D
Westampton, NJ 08060-5517
Phone
(609) 261-1060
Fax
(609) 261-0615
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 40QA02284000 NJ Primary

Addresses

Primary practice location

101 Burrs Rd Ste D
Westampton, NJ 08060-5517

Mailing address

117 Pine Cone TRL
Medford, NJ 08055-9166
Phone (609) 351-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241005000071 NJ Practitioner - Physical Therapist in Private Practice 6709317407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Physical Therapy and Sports RehabGroup PAC ID 9436431582, 9 clinicians

Practice addresses (Care Compare)

338 Stokes Rd
Medford, NJ 08055-8477
Phone (609) 451-5404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02284000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc. Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Aug 28, 2024 Accepting new patients
Rehabclinics SPT Inc CurrentSince Aug 28, 2024 Accepting new patients
Rehabclinics SPT Inc PastSince Sep 1, 2024 Accepting new patients
Rehabclinics (SPT), Inc. Past Accepting new patients

Locations

2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

101 Burrs Rd
Ste D
Westampton, NJ 08060
Phone (609) 261-1060

Organizations & group practices 6

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1295569416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PINE CONE TRL",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559166",
            "telephone_number": "609-351-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BURRS RD STE D",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605517",
            "telephone_number": "609-261-1060",
            "fax_number": "609-261-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADICHEL",
        "first_name": "KASEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02284000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.