Individual provider Active NPI

Annie Lyn Kalbach, PT, DPT

  • Orthopedic Physical Therapist
  • Bayville, NJ
National Provider Identifier
1730843327
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01812600 Issued in NJ
Practice address
333 Atlantic City Blvd Unit B18
Bayville, NJ 08721-1262
Phone
(732) 269-1938
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA01812600 NJ Primary

Addresses

Primary practice location

333 Atlantic City Blvd Unit B18
Bayville, NJ 08721-1262

Mailing address

647 Wilbert Ave
Forked River, NJ 08731-1441
Phone (908) 616-6621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214000657 NJ Practitioner - Physical Therapist in Private Practice 3072903608 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Rehabclinics SPT Inc CurrentSince Nov 1, 2021 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Osprey Rehabilitation, LLC. Orthopedic CurrentSince Apr 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. Orthopedic Current Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

333 Route 9
Ste 18
Bayville, NJ 08721
Phone (732) 269-1938

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

733 Route 72 W
Unit 15E
Stafford Township, NJ 08050
Phone (267) 261-3730

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1730843327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 WILBERT AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311441",
            "telephone_number": "908-616-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ATLANTIC CITY BLVD UNIT B18",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211262",
            "telephone_number": "732-269-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALBACH",
        "first_name": "ANNIE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01812600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.