Active NPI
My Adaptations
- Physical Therapy Clinic/Center
- Keyport, NJ
National Provider Identifier
1417636499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MY ADAPTATIONS
- Practice address
- 28 Myrtle Ave
Keyport, NJ 07735-1711 - Phone
- (732) 272-7290
- NPI assigned
- Jul 17, 2023
- Last updated
- Jul 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathryn Wilkinson, PT, DPT
- Title
- Owner
- Phone
- (732) 272-7290
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
28 Myrtle Ave
Keyport, NJ 07735-1711
Mailing address
28 Myrtle Ave
Keyport, NJ 07735-1711
Phone (732) 272-7290
Other names 1
- Adaptations
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Red Bank, NJ
- NPI 1841840816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1417636499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 MYRTLE AVE",
"city": "KEYPORT",
"state": "NJ",
"postal_code": "077351711",
"telephone_number": "732-272-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MYRTLE AVE",
"city": "KEYPORT",
"state": "NJ",
"postal_code": "077351711",
"telephone_number": "732-272-7290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY ADAPTATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "WILKINSON",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-272-7290",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adaptations",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Keyport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.