Kyle David Herrick, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

40QA01562000 Issued in NJ

Practice address

2282 Hamburg Tpke Ste a
Wayne, NJ 07470-6291

Phone

(201) 320-4737

Fax

(862) 330-3186

NPI assigned

Feb 20, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Herrick Home Care Physical Therapy Orthopedic and Pediatric Services PGroup PAC ID 8325398712, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Herrick Home Care Physical Therapy Orthopedic & Pediatric Services PC

  • Orthopedic Physical Therapist
  • Wayne, NJ
  • NPI 1750861365
  Medicare reassignment Care Compare group NPD Authorized official
• Sunny Days Sunshine Center Inc

  • Speech-Language Pathologist
  • Manalapan, NJ
  • NPI 1093058547
  NPD (past)

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1972995454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 HAMBURG TPKE STE A",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706291",
            "telephone_number": "973-800-4050",
            "fax_number": "862-330-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 HAMBURG TPKE STE A",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706291",
            "telephone_number": "201-320-4737",
            "fax_number": "862-330-3186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Corporate Center Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077268736",
            "country_code": "US",
            "telephone_number": "732-761-0302",
            "fax_number": "732-761-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01562000",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01562000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "herrickphysicaltherapy.com",
            "affiliation": "N",
            "address_1": "2282 Hamburg Tpke Ste A",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074706291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eugenia Hernandez, MSW
• Silvia Hernandez, RN, MSN, APN-C
• Lindsay Meredith Heron, MSW, LCSW
• Monique Herrera, LCSW
• Herrick Home Care Physical Therapy Orthopedic & Pediatric Services PC
• Samantha Emily Herrick, CCC-SLP
• Hida Liman LLC
• Arthur Higgins III, LCADC, LPC
• High Mountain Health
• High Mountain Health

• Pediatric Physical Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.