Individual provider Active NPI

Dennise Krencicki, PT

  • Physical Therapist
  • Stratford, NJ
National Provider Identifier
1578789871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00106300 Issued in NJ
Practice address
40 E Laurel Rd
Uec 2105
Stratford, NJ 08084-1350
Phone
(856) 566-6453
Fax
(856) 566-6458
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00106300 NJ Primary

Addresses

Primary practice location

40 E Laurel Rd
Uec 2105
Stratford, NJ 08084-1350

Mailing address

271 Dutchtown Zion Rd
Belle Mead, NJ 08502-5112
Phone (908) 359-4039

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
40QA00106300NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578789871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 DUTCHTOWN ZION RD",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085025112",
            "telephone_number": "908-359-4039",
            "fax_number": "856-566-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E LAUREL RD",
            "address_2": "UEC 2105",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841350",
            "telephone_number": "856-566-6453",
            "fax_number": "856-566-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENCICKI",
        "first_name": "DENNISE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00106300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.