Healthcare Provider Details

I. General information

NPI: 1760405799
Provider Name (Legal Business Name): KRISTY ANN NEWMAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 10TH AVE
BELMAR NJ
07719-2317
US

IV. Provider business mailing address

2209 KILKARE PKWY
POINT PLEASANT BORO NJ
08742-3818
US

V. Phone/Fax

Practice location:
  • Phone: 732-910-9196
  • Fax:
Mailing address:
  • Phone: 848-448-7714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01032300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: