Individual provider Active NPI

Risa Michelle Kaban, MS,PT

  • Physical Therapist
  • Westfield, NJ
National Provider Identifier
1760603112
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01313700 Issued in NJ
Practice address
34 Manchester Dr
Westfield, NJ 07090-2265
Phone
(908) 233-1349
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 016585-1 NY
Physical Therapist 225100000X 40QA01313700 NJ Primary

Addresses

Primary practice location

34 Manchester Dr
Westfield, NJ 07090-2265

Mailing address

34 Manchester Dr
Westfield, NJ 07090-2265
Phone (908) 233-1349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40QA01313700NJMDPhysical Therapist
016585-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1760603112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MANCHESTER DR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902265",
            "telephone_number": "908-233-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MANCHESTER DR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902265",
            "telephone_number": "908-233-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAN",
        "first_name": "RISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016585-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01313700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.