Individual provider Active NPI

Kaylee Cimino, PT

  • Physical Therapist
  • Watchung, NJ
National Provider Identifier
1992509210
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02318100 Issued in NJ
Practice address
459 Watchung Ave
Watchung, NJ 07069-4945
Phone
(908) 756-2424
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 40QA02318100 NJ Primary

Addresses

Primary practice location

459 Watchung Ave
Watchung, NJ 07069-4945

Mailing address

459 Watchung Ave
Watchung, NJ 07069-4945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424002843 NJ Practitioner - Physical Therapist in Private Practice 0840716692 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Medical Group of Hillsborough LLCGroup PAC ID 5597298596, 10 clinicians
Performance Medical Group of SomersetGroup PAC ID 0941612360, 23 clinicians
Performance Medical of Watchung LLCGroup PAC ID 8628312501, 22 clinicians

Practice addresses (Care Compare)

105 Raider Blvd
Suite 201
Hillsborough, NJ 08844-1528
Phone (908) 756-2424

454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone 9087562424135

459 Watchung Ave
Watchung, NJ 07069-4945
Phone (908) 756-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02318100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Medical Group of Branchburg LLC CurrentSince Apr 14, 2025 Accepting new patients
Performance Medical Group of Hillsborough LLC CurrentSince Apr 14, 2025 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Apr 14, 2025 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Apr 14, 2025 Accepting new patients
Performance Medical Group of Somerset CurrentSince Apr 14, 2025 Accepting new patients

Locations

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

105 Raider Blvd
Ste 201
Hillsborough, NJ 08844

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 860-5757

10 Johnston Dr
Watchung, NJ 07069

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1992509210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694945",
            "telephone_number": "908-756-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "KAYLEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02318100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.