Individual provider Active NPI

Allison Kellish

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1427167089
Registry record updated Nov 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10 Parsonage Rd
Suite 508
Edison, NJ 08837-2429
Phone
(732) 906-1144
NPI assigned
Aug 29, 2006
Last updated
Nov 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2007

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 Primary

Addresses

Primary practice location

10 Parsonage Rd
Suite 508
Edison, NJ 08837-2429

Mailing address

18 Ridge Rd
Clark, NJ 07066-2916
Phone (732) 382-0318

Other identifiers 1

IdentifierTypeStateIssuer
40QA00390700OtherNJLICENSE#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115000139 NJ Practitioner - Physical Therapist in Private Practice 5092069732 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

70 Ridge Rd
Lyndhurst, NJ 07071-1216
Phone (201) 933-9959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Sep 24, 2019 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Sep 24, 2019 Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

867 Saint Georges Ave
Ste 3
Rahway, NJ 07065
Phone (732) 428-4008

545 State Route 35
Red Bank, NJ 07701
Phone (732) 758-8388

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195862400000",
    "number": "1427167089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RIDGE RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662916",
            "telephone_number": "732-382-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD",
            "address_2": "SUITE 508",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "732-906-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLISH",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "40QA00390700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2007; 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.