Active NPI
Kristin M Caldarella, PT
- Physical Therapist
- Sea Bright, NJ
National Provider Identifier
1558470211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00709100
- Practice address
- 22 Longview Way
Sea Bright, NJ 07760-2217 - Phone
- (201) 926-8606
- NPI assigned
- Aug 29, 2006
- Last updated
- Apr 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 40QA00709100 | NJ | |
| Physical Therapist | 225100000X | 40QA00709100 | NJ | Primary |
Addresses
Primary practice location
22 Longview Way
Sea Bright, NJ 07760-2217
Mailing address
166 Patterson Ave Ste 8
Shrewsbury, NJ 07702-4166
Phone (732) 842-6600
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 |
|---|---|---|---|
| 40QA00709100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abilities in Action, LLC | Pediatrics | 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, 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": "1554076800000",
"number": "1558470211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 PATTERSON AVE STE 8",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024166",
"telephone_number": "732-842-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 LONGVIEW WAY",
"city": "SEA BRIGHT",
"state": "NJ",
"postal_code": "077602217",
"telephone_number": "201-926-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDARELLA",
"first_name": "KRISTIN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NJ",
"license": "40QA00709100",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00709100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sea Bright, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.