Organization Active NPI

Kool Kidz Physical Therapy

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1952016966
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KOOL KIDZ PHYSICAL THERAPY
Practice address
219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone
(347) 543-7236
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Christina Rubin, DPTNPI 1861133480
Title
Ceo/Founder
Phone
(347) 543-7236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

219 Taylors Mills Rd
Manalapan, NJ 07726-3255

Mailing address

132 Radigan Ave
Staten Island, NY 10309-4215
Phone (347) 543-7236

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106003578 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0143677518 Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1952016966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RADIGAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094215",
            "telephone_number": "347-543-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255",
            "telephone_number": "347-543-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL KIDZ PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "347-543-7236",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.