Active NPI
Kool Kidz Physical Therapy
- Physical Therapist
- Manalapan, NJ
National Provider Identifier
1952016966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Rubin, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231106003578 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0143677518 | Practice locations: Manalapan, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Staten Island, NY
- NPI 1861133480
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.