Individual provider Active NPI

Kelsey Stromberg

  • Physical Therapist
  • Lake Como, NJ
National Provider Identifier
1992686778
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1801 Main St Ste 1B
Lake Como, NJ 07719-2972
Phone
(732) 390-8100
Fax
(732) 626-6767
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1801 Main St Ste 1B
Lake Como, NJ 07719-2972

Mailing address

647 Route 18 Ste I
East Brunswick, NJ 08816-3747
Phone (732) 390-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929000192 NJ Practitioner - Physical Therapist in Private Practice 5890290944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Physical TherapyGroup PAC ID 1456648260, 9 clinicians
Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, 497 clinicians

Practice addresses (Care Compare)

1801 Main St
Suite 1B
Lake Como, NJ 07719-2972
Phone (732) 390-8100

70 Ridge Rd
Lyndhurst, NJ 07071-1216
Phone (201) 933-9959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Physical Therapy Multi-Specialty CurrentSince Jan 26, 2026 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Multi-Specialty CurrentSince Sep 8, 2025 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Multi-Specialty Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Multi-Specialty CurrentSince Sep 8, 2025 Accepting new patients

Locations

647 Route 18
Ste I
East Brunswick, NJ 08816
Phone (732) 390-8100

226 Middle Rd
Hazlet, NJ 07730
Phone (732) 264-7615

1801 Main St
Ste 1B
Lake Como, NJ 07719
Phone (732) 256-1758

70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

576 Broadhollow Rd
Melville, NY 11747

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": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1992686778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 ROUTE 18 STE I",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163747",
            "telephone_number": "732-390-8100",
            "fax_number": "732-626-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MAIN ST STE 1B",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077192972",
            "telephone_number": "732-390-8100",
            "fax_number": "732-626-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMBERG",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Como, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.