Kimberly Anne O'Brien, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4OQA01277300 Issued in NJ

Practice address

1 Brentwood CT
Sparta, NJ 07871-3728

Phone

(347) 752-0596

NPI assigned

May 6, 2007

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1740492149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRENTWOOD CT",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713728",
            "telephone_number": "347-752-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRENTWOOD CT",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713728",
            "telephone_number": "347-752-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6107 Avenue T",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112345901",
            "country_code": "US",
            "telephone_number": "718-763-9819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "4OQA01277300",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Sports Medicine & Orthopedic Center, LLC (The Orthopedic Institute Of NJ)
• Northwest Jersey Ambulatory Surgery Center, PA (Nwjasc)
• Northwest Optometry Group, P.a. (Sparta Eye Associates)
• Northwest Optometry Group, P.a.
• Denise Novaes, M.D.
• Anne Marie O'Dair, DC
• Ashleigh Nicole O'Malley, DPT
• Michael B O'Neill, MD
• Ohm and Body LLC
• Ryan Ojeda, MA, LAC

• Physical Therapist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.