Active NPI
Joni Michelle Redlich, PT, DPT, PCS
- Pediatric Physical Therapist
- Somerville, NJ
National Provider Identifier
1447396395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 40QA00933800
- Practice address
- 34 W Main St
Ste 347
Somerville, NJ 08876-2218 - Phone
- (908) 543-4390
- Fax
- (908) 450-6126
- NPI assigned
- Jan 29, 2007
- Last updated
- Apr 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 40QA00933800 | NJ | Primary |
Addresses
Primary practice location
34 W Main St
Ste 347
Somerville, NJ 08876-2218
Mailing address
34 W Main St
Ste 347
Somerville, NJ 08876-2218
Phone (908) 543-4390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00933800 | NJ | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kid PT LLC | Pediatrics | Current | Accepting new patients |
| Kid PT LLC | Pediatrics | Current | Accepting new patients |
Locations
34 W Main St
Ste 347
Somerville, NJ 08876
Phone (908) 543-4390
Organizations & group practices 2
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": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1447396395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 W MAIN ST",
"address_2": "STE 347",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762218",
"telephone_number": "908-543-4390",
"fax_number": "908-450-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 W MAIN ST",
"address_2": "STE 347",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762218",
"telephone_number": "908-543-4390",
"fax_number": "908-450-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDLICH",
"first_name": "JONI",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PT, DPT, PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NJ",
"license": "40QA00933800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.