Individual provider Active NPI

Daniel Adam Kvenvik, PTA

  • Physical Therapy Assistant
  • Somerset, NJ
National Provider Identifier
1447707609
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00322800 Issued in NJ
Practice address
1527 State Route 27
Suite 1100
Somerset, NJ 08873-3979
Phone
(732) 545-7474
Fax
(732) 545-2880
NPI assigned
Sep 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00322800 NJ Primary

Addresses

Primary practice location

1527 State Route 27
Suite 1100
Somerset, NJ 08873-3979

Mailing address

1527 State Route 27
Suite 1100
Somerset, NJ 08873-3979
Phone (732) 545-7474

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

LicenseStateTypeSpecialty
40QB00322800NJMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NKR LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1447707609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 STATE ROUTE 27",
            "address_2": "SUITE 1100",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733979",
            "telephone_number": "732-545-7474",
            "fax_number": "732-545-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 STATE ROUTE 27",
            "address_2": "SUITE 1100",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733979",
            "telephone_number": "732-545-7474",
            "fax_number": "732-545-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVENVIK",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00322800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.