Individual provider Active NPI

William Gerhard Kaiser, PT

  • Physical Therapist
  • Vineland, NJ
National Provider Identifier
1639138787
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA01610 Issued in NJ
Practice address
1940 S West Blvd
Building a
Vineland, NJ 08360-7024
Phone
(856) 690-9977
Fax
(856) 507-9918
NPI assigned
Mar 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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 QA01610 NJ Primary

Addresses

Primary practice location

1940 S West Blvd
Building a
Vineland, NJ 08360-7024

Mailing address

1940 S West Blvd
BLDG a
Vineland, NJ 08360-7024
Phone (856) 690-9977

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

LicenseStateTypeSpecialty
QA01610NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1639138787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S WEST BLVD",
            "address_2": "BLDG A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607024",
            "telephone_number": "856-690-9977",
            "fax_number": "856-507-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S WEST BLVD",
            "address_2": "BUILDING A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607024",
            "telephone_number": "856-690-9977",
            "fax_number": "856-507-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "WILLIAM",
        "middle_name": "GERHARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.