Individual provider Active NPI

Steven Dennis Kreh Jr., PHYSICAL THERAPIST

  • Physical Therapist
  • Medford, NJ
National Provider Identifier
1720594807
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA07166400 Issued in NJ
Practice address
180 Route 70 Ste 1
Medford, NJ 08055-8703
Phone
(856) 271-1422
NPI assigned
Dec 27, 2017
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 40QA07166400 NJ Primary

Addresses

Primary practice location

180 Route 70 Ste 1
Medford, NJ 08055-8703

Mailing address

23 N Delsea Dr Unit B
Clayton, NJ 08312-1637
Phone (856) 423-7700

Other practice location 1

777 Route 70 E Ste G103
Marlton, NJ 08053-2548
Phone (856) 271-1422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420001723 NJ Practitioner - Physical Therapist in Private Practice 4284997420 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 Route 70 E
Suite G103
Marlton, NJ 08053-2548
Phone (856) 271-1422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA07166400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Aug 15, 2021 Accepting new patients
Boost Physio and Performance Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Jan 22, 2021 Accepting new patients
Activcore Health Network LLC Physical Therapist CurrentSince May 17, 2022 Accepting new patients
Biokinesis Health and Performance Physical Therapist Current Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Aug 15, 2021 Accepting new patients
Robert Michael Grife Enterprises, LLC PastSince Apr 1, 2024 Accepting new patients

Locations

909 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-6981

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

23 N Delsea Dr
#B
Clayton, NJ 08312
Phone (856) 226-4852

777 Route 70 E
Ste G103
Marlton, NJ 08053
Phone (609) 336-3313

180 Route 70
Ste 1
Medford, NJ 08055
Phone (856) 200-8500

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

800 Bunn Dr
Ste 102
Princeton, NJ 08540
Phone (609) 466-9004

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

10 Woodbridge Center Dr
Ste 102
Woodbridge, NJ 07095
Phone (732) 588-6935

Organizations & group practices 8

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": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1720594807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N DELSEA DR UNIT B",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121637",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ROUTE 70 STE 1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558703",
            "telephone_number": "856-271-1422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Route 70 E Ste G103",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532548",
            "country_code": "US",
            "telephone_number": "856-271-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREH",
        "first_name": "STEVEN",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA07166400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.