Active NPI
Kevin Degnan, PT, DPT
- Physical Therapist
- Gillette, NJ
National Provider Identifier
1538086525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02427300
- Practice address
- 644 Valley Rd
Gillette, NJ 07933-2012 - Phone
- (908) 991-3761
- Fax
- (908) 991-3770
- NPI assigned
- Jul 1, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02427300 | NJ | Primary |
Addresses
Primary practice location
644 Valley Rd
Gillette, NJ 07933-2012
Mailing address
644 Valley Rd
Gillette, NJ 07933-2012
Phone (908) 991-3761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2271 Old Farm Rd
Scotch Plains, NJ 07076-2113
644 Valley Rd
Gillette, NJ 07933-2012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individual Physical Therapy and Wellness LLC | Physical Therapist | Current | Accepting new patients |
Locations
644 Valley Rd
Gillette, NJ 07933
Phone (908) 991-3761
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.
-
- Physical Therapy Clinic/Center
- Gillette, NJ
- NPI 1639654478
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1538086525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 VALLEY RD",
"city": "GILLETTE",
"state": "NJ",
"postal_code": "079332012",
"telephone_number": "908-991-3761",
"fax_number": "908-991-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 VALLEY RD",
"city": "GILLETTE",
"state": "NJ",
"postal_code": "079332012",
"telephone_number": "908-991-3761",
"fax_number": "908-991-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGNAN",
"first_name": "KEVIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02427300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.