Kathleen Fox, PTA
Individual provider Active NPI Physical Therapy Assistant · Shamong, NJ
NPI 1629216320 · NPPES record last updated Feb 3, 2009
Key facts
- NPI
- 1629216320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 40QB00121100 (NJ)
- Practice address
- 829 McKendimen Rd
Shamong, NJ 08088-8661 - Phone
- (800) 950-6066
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00121100 | NJ | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00121100 | NJ | Yes |
Addresses
Primary practice location
829 McKendimen Rd
Shamong, NJ 08088-8661
Mailing address
829 McKendimen Rd
Shamong, NJ 08088-8661
Phone (800) 950-6066
Other providers in Shamong, NJ
- Claire Nicole Caramanna
- David Mark Carey
- Danielle Brenza, DO LLC
- Brooke Amy Elliott
- Stephanie Flemming
- Megan Gardner
- Dana Marie Gibilisco
- Samuel Lee Hayes III
- Amanda Marie Heritage
- Indian Mills Volunteer Fire Co No 1
All providers in Shamong, NJ · Physical Therapy Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.