Individual provider Active NPI

Kaitlin Briar, MPT

  • Physical Therapist
  • Brick, NJ
National Provider Identifier
1306094495
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01286300 Issued in NJ
Practice address
1161 Burnt Tavern Rd.
Brick, NJ 08723-1472
Phone
(732) 458-1755
Fax
(732) 458-6408
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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 40QA01286300 NJ Primary

Addresses

Primary practice location

1161 Burnt Tavern Rd.
Brick, NJ 08723-1472

Mailing address

11 Eagle Rock Ave
East Hanover, NJ 07936
Phone (973) 887-9000

Other names 1

  • Kaitlin Patricia Fix Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000366 NJ Practitioner - Physical Therapist in Private Practice 1759449119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

823 Lacey Rd
Forked River, NJ 08731-1203
Phone (609) 693-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01286300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center CurrentSince Apr 17, 2017 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Apr 17, 2017 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients

Locations

823 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-4484

1173 Beacon Ave
Ste C
Manahawkin, NJ 08050
Phone (609) 978-5868

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

1035 Hooper Ave
Ste 1
Toms River, NJ 08753
Phone (732) 505-2028

9 Mule Rd
Ste E2
Toms River, NJ 08755
Phone (732) 473-1666

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1306094495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BURNT TAVERN RD.",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087231472",
            "telephone_number": "732-458-1755",
            "fax_number": "732-458-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIAR",
        "first_name": "KAITLIN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01286300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "FIX",
            "middle_name": "PATRICIA",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.