MEDICARE: JKPHPT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1972454015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JKPHPT, LLC

Provider Business Mailing Address
First Line	:	300 CLINTON ST FL 2
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-2705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 CLINTON ST FL 2
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-2705
Country	:	US
Telephone Number	:	224-234-7636
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA KLEIN
Credential	:	PT, DPT
Telephone Number	:	224-234-7636

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “JKPHPT, LLC ” Practice Location

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