Kyle Donohue, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00390100 Issued in NJ

Practice address

3499 Route 9 N Ste 2B
Freehold, NJ 07728-3277

Phone

(732) 431-1126

Fax

(732) 414-1551

NPI assigned

Nov 2, 2021

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1700541067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 ROUTE 9 N STE 2B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283277",
            "telephone_number": "732-431-1126",
            "fax_number": "732-414-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 ROUTE 9 N STE 2B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283277",
            "telephone_number": "732-431-1126",
            "fax_number": "732-414-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "KYLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00390100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Michelle Donahue
• Dilip M Donde, MD
• Mrunalinin Donde, M.D.
• Olivia Donini
• Justin Colin Donnamaria
• Shannon Dooley
• Adam Douglas, MD
• Brianne Nicole Downey, BA, CADC
• Timothy A. Dowse, PA-C
• Doze Concern LLC

• Physical Therapy Assistant in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.