Kimberly Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00520400 Issued in NJ

Legal business name

KIMBERLY PHYSICAL THERAPY INC

Practice address

1270 Highway 35
Middletown, NJ 07748-2014

Phone

(973) 361-6054

Fax

(973) 361-0272

NPI assigned

Oct 3, 2007

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edilberto O. Estomo Jr.NPI 1720138191

Title

President

Phone

(973) 361-6054

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edilberto O Estomo Jr.

  • Physical Therapist
  • Bergenfield, NJ
  • NPI 1720138191
  Authorized official Same address or phone

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1780871764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070200029",
            "telephone_number": "973-361-6054",
            "fax_number": "973-361-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 HIGHWAY 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482014",
            "telephone_number": "973-361-6054",
            "fax_number": "973-361-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ESTOMO",
        "authorized_official_first_name": "EDILBERTO",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-361-6054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00520400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Kellar, LPC, ACS
• Robert Kevlin
• Amanda Kielty
• Min Jin Kim, DDS
• Kimberley Carhart LLC (Outside The Box Therapy)
• King James Care Center of Middletown, LLC (Care One at King James)
• Stacy Kirman, COTA
• Susan Ko-Velez, PHYSICIAN ASSISTANT
• Thomas Pedicino Kole, M.D., PH.D.
• Kim Koturo, SCHOOL PSYCHOLOGIST

• Physical Therapist in Middletown, NJ
• Providers in Middletown, 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 Apr 8, 2008; 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.