Active NPI
Johanna Marcela Kardos, DPT
- Physical Therapist
- Northfield, NJ
National Provider Identifier
1568615920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01421900
- Practice address
- 801 Tilton Rd
Northfield, NJ 08225-1265 - Phone
- (609) 645-0505
- Fax
- (609) 641-3532
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0002387 | DE | |
| Physical Therapist | 225100000X | PT019624 | PA | |
| Physical Therapist | 225100000X | 40QA01421900 | NJ | Primary |
Addresses
Primary practice location
801 Tilton Rd
Northfield, NJ 08225-1265
Mailing address
181 Santa Cruz Rd
Tuckerton, NJ 08087-4251
Phone (908) 279-4446
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002387 | DE | MD | Physical Therapist |
| 40QA01421900 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Current | Accepting new patients | |
| Reconstructive Orthopaedic Associates II LLC | Physical Therapist | Current | Accepting new patients |
Locations
170 N Henderson Rd
Ste 100
Kng of Prussa, PA 19406
Phone (610) 265-6633
925 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-5050
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
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 and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
Physical Therapist
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1568615920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 SANTA CRUZ RD",
"city": "TUCKERTON",
"state": "NJ",
"postal_code": "080874251",
"telephone_number": "908-279-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 TILTON RD",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251265",
"telephone_number": "609-645-0505",
"fax_number": "609-641-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARDOS",
"first_name": "JOHANNA",
"middle_name": "MARCELA",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002387",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019624",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01421900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.