Mark Richard Kitz, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA01335400 Issued in NJ

Practice address

2200 Wallace Blvd
Suite E
Cinnaminson, NJ 08077-2578

Phone

(856) 829-0015

Fax

(856) 829-0043

NPI assigned

Nov 2, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Plymouth Regional Rehabilitation Services LLC

  • Physical Therapist
  • Bristol, NH
  • NPI 1780986539
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1417283003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WALLACE BLVD",
            "address_2": "SUITE E",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772578",
            "telephone_number": "856-829-0015",
            "fax_number": "856-829-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WALLACE BLVD",
            "address_2": "SUITE E",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772578",
            "telephone_number": "856-829-0015",
            "fax_number": "856-829-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZ",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01335400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Kerrigan, APN
• Robert John Kertman, RPH
• KGJ Associates LLC
• Evan M King, PHARM.D.
• Mahima Bhasin Kinra
• Jeffrey Carling Klein, D.D.S.
• Joseph Kornbleuth, DMD
• John Michael Kowalski II, D.O.
• Michael Labrie, DPT
• Artilda Laho

• Specialist in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.