Active NPI
Kevin Basile, P.T.
- Physical Therapist
- Hamilton, NJ
National Provider Identifier
1346351160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01673600
- Practice address
- 3635 Quakerbridge Rd
Hamilton, NJ 08619-1247 - Phone
- (609) 631-5200
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | DAPT001140 | PA | |
| Physical Therapist | 225100000X | 40QA01673600 | NJ | Primary |
Addresses
Primary practice location
3635 Quakerbridge Rd
Hamilton, NJ 08619-1247
Mailing address
3635 Quakerbridge Rd
Hamilton, NJ 08619-1247
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 |
|---|---|---|---|
| 19762 | MD | MD | Pharmacist |
| 40QA01673600 | NJ | MD | Physical Therapist |
| DAPT001140 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aquabilities, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1346351160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 QUAKERBRIDGE RD",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086191247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 QUAKERBRIDGE RD",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086191247",
"telephone_number": "609-631-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASILE",
"first_name": "KEVIN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "DAPT001140",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01673600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.