Individual provider Active NPI

Kimberly Salvato

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1356715890
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01645400 Issued in NJ
Practice address
348 Route 9
Manalapan, NJ 07726-9604
Phone
(732) 894-9200
Fax
(732) 894-9202
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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 40QA01645400 NJ Primary

Addresses

Primary practice location

348 Route 9
Manalapan, NJ 07726-9604

Mailing address

348 Route 9
Manalapan, NJ 07726-9604
Phone (732) 894-9200

Other identifiers 1

IdentifierTypeStateIssuer
40QA01645400OtherNJLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108001303 NJ Practitioner - Physical Therapist in Private Practice 3375845233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Orthopedic and Sports Therapy LLCGroup PAC ID 7810260999, 5 clinicians
Coastal Home Rehabilitation, LLCGroup PAC ID 0345418646, 50 clinicians

Practice addresses (Care Compare)

155 Main St
Manasquan, NJ 08736-3544
Phone (732) 320-9069

508 10TH Ave
Belmar, NJ 07719-2317
Phone (908) 670-6695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01645400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Mar 3, 2020 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 3, 2020 Accepting new patients
Coastal Home Rehabilitation, LLC Physical Therapist CurrentSince Mar 31, 2018 Accepting new patients
Complete Orthopedic and Sports Therapy LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

333 N County Line Rd
Jackson, NJ 08527
Phone (732) 833-1133

155 Main St
Manasquan, NJ 08736
Phone (732) 320-9069

2915 Ridgeway Rd
Manchester, NJ 08759
Phone (732) 657-7900

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

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": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1356715890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077269604",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077269604",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVATO",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01645400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "40QA01645400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.