Individual provider Active NPI

Kathryn R Zubicki, PT, DPT

  • Physical Therapist
  • Fairfield, NJ
National Provider Identifier
1902442510
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
25 Greenbrook Rd
Fairfield, NJ 07004-3890
Phone
(973) 403-9911
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 NJ Primary

Addresses

Primary practice location

25 Greenbrook Rd
Fairfield, NJ 07004-3890

Mailing address

210 Midland Ave
Kearny, NJ 07032-3547
Phone (551) 200-1036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227000423 NJ Practitioner - Physical Therapist in Private Practice 8527492578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theraphysical LLCGroup PAC ID 4981856341, 12 clinicians

Practice addresses (Care Compare)

2025 Hamburg Tpke
Suite E
Wayne, NJ 07470-6250
Phone (973) 835-2827

623 Ridge Rd
Lyndhurst, NJ 07071-3205
Phone (201) 340-4656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Wellness and Physical Therapy, LLC Physical Therapist CurrentSince Nov 20, 2019 Accepting new patients
Theraphysical, LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Theraphysical, LLC CurrentSince Feb 6, 2023 Accepting new patients

Locations

25 Greenbrook Rd
Fairfield, NJ 07004
Phone (973) 403-9111

623 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 340-4656

Organizations & group practices 4

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1902442510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MIDLAND AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323547",
            "telephone_number": "551-200-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GREENBROOK RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043890",
            "telephone_number": "973-403-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBICKI",
        "first_name": "KATHRYN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.