Individual provider Active NPI

Kai Pun, P.T.

  • Physical Therapist
  • Warren, NJ
National Provider Identifier
1699792358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00640800 Issued in NJ
Practice address
8 Mountain Blvd
Warren, NJ 07059-2638
Phone
(908) 757-7772
Fax
(908) 757-6983
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00640800 NJ Primary

Addresses

Primary practice location

8 Mountain Blvd
Warren, NJ 07059-2638

Mailing address

19 Tompkins Rd
East Brunswick, NJ 08816-1710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130214000077 NJ Practitioner - Physical Therapist in Private Practice 9638323983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homecare Rehab LLCGroup PAC ID 5597054981, 5 clinicians
All in Home Rehab LLCGroup PAC ID 2961747928, 5 clinicians

Practice addresses (Care Compare)

25 Highland Dr
Parlin, NJ 08859-2522
Phone (732) 610-2528

6 Stevens Dr
Holmdel, NJ 07733-2209
Phone (908) 377-9448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All in Home Rehab LLC CurrentSince Sep 28, 2021 Accepting new patients
Homecare Rehab LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699792358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TOMPKINS RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MOUNTAIN BLVD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592638",
            "telephone_number": "908-757-7772",
            "fax_number": "908-757-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUN",
        "first_name": "KAI",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00640800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.