Ritchie Kim, D.P.T

Individual provider Active NPI Physical Therapist · Allendale, NJ

NPI 1376776260 · NPPES record last updated Nov 13, 2013

Key facts

NPI
1376776260
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01326100 (NJ)
Practice address
115 W Allendale Ave
Suite 1
Allendale, NJ 07401
Phone
(201) 934-1281
NPI assigned
Aug 26, 2009
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 W Allendale Ave
Suite 1
Allendale, NJ 07401-1734
Phone (201) 934-1281

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110401000795 NJ Practitioner - Physical Therapist in Private Practice 9931383767 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
40QA01326100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plyo Physical Therapy LLC Physical Therapist Current
since Aug 1, 2013
Accepting new patients
All-Pro Health Past
since Dec 3, 2018
Accepting new patients
Heller Family Chiropractic PC Past Accepting new patients
Schragen Chiropractic Physical Therapist Past
since Sep 10, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01326100 NJ Yes

Addresses

Primary practice location

115 W Allendale Ave
Suite 1
Allendale, NJ 07401

Mailing address

115 W Allendale Ave
Suite 1
Allendale, NJ 07401
Phone (201) 934-1281

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 13, 2013.

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1376776260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W ALLENDALE AVE",
            "address_2": "SUITE 1",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "07401",
            "telephone_number": "201-934-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W ALLENDALE AVE",
            "address_2": "SUITE 1",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "07401",
            "telephone_number": "201-934-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RITCHIE",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01326100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, NJ

All providers in Allendale, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.