Individual provider Active NPI

Kevin Phillip Schnitzer, PT, MPT

  • Physical Therapist
  • Clark, NJ
National Provider Identifier
1609057553
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01251100 Issued in NJ
Practice address
1180 Raritan Rd
Clark, NJ 07066-1311
Phone
(908) 976-2626
Fax
(908) 976-8260
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA01251100 NJ
Physical Therapist 225100000X 40QA01251100 NJ Primary

Addresses

Primary practice location

1180 Raritan Rd
Clark, NJ 07066-1311

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Other practice location 1

200 Tuckerton Rd
Suite 17
Medford, NJ 08055-8806
Phone (856) 396-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091106000041 NJ Practitioner - Physical Therapist in Private Practice 7618015900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Boro Physical Therapy Associates, PAGroup PAC ID 8527962950, 89 clinicians

Practice addresses (Care Compare)

200 Tuckerton Rd
Suite 17
Medford, NJ 08055-8806
Phone (856) 396-2250

2050 State Route 27
North Brunswick, NJ 08902-1380
Phone (732) 745-2727

904 Route 73 N
Marlton, NJ 08053-1230
Phone (856) 267-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01251100NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Oct 15, 2021 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Oct 15, 2021 Accepting new patients

Locations

1180 Raritan Rd
Clark, NJ 07066
Phone (848) 308-4515

20 Commerce Dr
Ste 210
Cranford, NJ 07016

200 Tuckerton Rd
Ste 17
Medford, NJ 08055
Phone (856) 396-2250

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

701 Cooper Rd
Ste 12
Voorhees, NJ 08043
Phone (856) 346-0526

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.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1609057553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661311",
            "telephone_number": "908-976-2626",
            "fax_number": "908-976-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Tuckerton Rd",
            "address_2": "Suite 17",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080558806",
            "country_code": "US",
            "telephone_number": "856-396-2250",
            "fax_number": "856-810-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNITZER",
        "first_name": "KEVIN",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01251100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01251100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.