Kinnelon Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KINNELON PHYSICAL THERAPY INC

Practice address

17 Kiel Ave
Kinnelon, NJ 07405-1706

Phone

(973) 838-3733

Fax

(973) 492-5822

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Daniel S MyersNPI 1447325592

Title

PT Owner

Phone

(973) 838-3733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel S Myers, P.T.

  • Physical Therapist
  • Kinnelon, NJ
  • NPI 1447325592
  Medicare reassignment NPD Authorized official
• Lisa K Zarb, PT

  • Physical Therapist
  • Oakland, NJ
  • NPI 1073823506
  Medicare reassignment NPD

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1447470604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KIEL AVE",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052574",
            "telephone_number": "973-838-3733",
            "fax_number": "973-492-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 KIEL AVE",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074051706",
            "telephone_number": "973-838-3733",
            "fax_number": "973-492-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNELON PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PT OWNER",
        "authorized_official_telephone_number": "973-838-3733"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Kellish
• Kinnelon Dental Group
• Kinnelon Dermatology Associates PC
• Kinnelon Medical & Pediatric Associates, PA
• Kinnelon Medical & Wellness Associates LLC
• Kinnelon Public Schools
• Matthew Klein, MD
• Barbara Lenore Koslow, O.D.
• Adam Kunkis, MD, MBA
• Angela Kuzmanoski, PHARMD

• Physical Therapist in Kinnelon, NJ
• Providers in Kinnelon, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.