Individual provider Active NPI

Kristin S. Wishnow, PT

  • Physical Therapist
  • North Brunswick, NJ
National Provider Identifier
1992738298
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00853000 Issued in NJ
Practice address
2050 State Route 27 Ste 107&108
North Brunswick, NJ 08902-1380
Phone
(732) 745-2727
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 40QA00853000 NJ Primary

Addresses

Primary practice location

2050 State Route 27 Ste 107&108
North Brunswick, NJ 08902-1380

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00853000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Jan 3, 2000 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Jan 3, 2000 Accepting new patients

Locations

20 Commerce Dr
Ste 210
Cranford, NJ 07016

2050 State Route 27
Ste 107108
North Brunswick, NJ 08902
Phone (732) 745-2727

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

2050 State Route 27
Ste 108
North Brunswick, NJ 08902
Phone (732) 745-2727

1124 South Ave W
Westfield, NJ 07090
Phone (908) 212-9711

Organizations & group practices 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1992738298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 STATE ROUTE 27 STE 107&108",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021380",
            "telephone_number": "732-745-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHNOW",
        "first_name": "KRISTIN",
        "middle_name": "S.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00853000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.