Kristen Dornacker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01449700 Issued in NJ

Practice address

1610 New Jersey Route 88
Brick, NJ 08724

Phone

(732) 785-5500

NPI assigned

Jun 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Accucare Physical Therapy and Sports Medicine PA

  • Physical Therapist
  • Brick, NJ
  • NPI 1033167580
  NPD

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1649619743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BARBERRY DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080774449",
            "telephone_number": "609-313-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 NEW JERSEY ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-785-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNACKER",
        "first_name": "KRISTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01449700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Dolan, PT
• Heather Donahue, NBC-HWC
• Kathryn Donohue
• Kelly Donovan
• Cindy P Dornacker, L.C.S.W.
• Gary Dornfeld, D.D.S
• Dawn Dougherty
• Mary Katharine Dowling, OT
• Samantha Dowstra, LAC
• Alexandra Doyle, MS, LAC, NCC

• Physical Therapist in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.