Active NPI
Cheng Ku, PT, DPT
- Physical Therapist
- Somerset, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01510200
- Practice address
- 34 Cedar Brook Dr
Somerset, NJ 08873-2854 - Phone
- (973) 462-6435
- NPI assigned
- Dec 6, 2013
- Last updated
- Feb 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01510200 | NJ | Primary |
Addresses
Primary practice location
34 Cedar Brook Dr
Somerset, NJ 08873-2854
Mailing address
34 Cedar Brook Dr
Somerset, NJ 08873-2854
Other practice location 1
179 E Main St
Rockaway, NJ 07866-3532
Phone (973) 462-6435
Other practice location 2
201 S Livingston Ave Ste 2E
Livingston, NJ 07039-4040
Phone (973) 462-6435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 Millburn Ave
FL 1
Millburn, NJ 07041-1917
Phone (973) 486-6747
34 Cedar Brook Dr
Somerset, NJ 08873-2854
Phone (973) 931-2312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01510200 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ku Rehab and Fitness LLC | Physical Therapist | Current | Accepting new patients |
| Healthspan Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
201 S Livingston Ave
Ste 2E
Livingston, NJ 07039
Phone (973) 462-6435
127 Millburn Ave
#1
Millburn, NJ 07041
Phone (973) 486-6747
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Somerset, NJ
- NPI 1639762024
Physical Therapist
-
dba Healthspan Healthcare Services
- Physical Therapy Clinic/Center
- Somerset, NJ
- NPI 1518319722
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1659702231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 CEDAR BROOK DR",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088732854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 CEDAR BROOK DR",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088732854",
"telephone_number": "973-462-6435"
}
],
"practiceLocations": [
{
"address_1": "179 E Main St",
"address_purpose": "LOCATION",
"city": "Rockaway",
"state": "NJ",
"postal_code": "078663532",
"country_code": "US",
"telephone_number": "973-462-6435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S Livingston Ave Ste 2E",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070394040",
"country_code": "US",
"telephone_number": "973-462-6435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KU",
"first_name": "CHENG",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-06",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01510200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.