Healthcare Provider Details

I. General information

NPI: 1295671477
Provider Name (Legal Business Name): KELSEY JOY BIGELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 MOUNTAIN BLVD
WARREN NJ
07059-5847
US

IV. Provider business mailing address

54 COUNTY ROAD 519
BLOOMSBURY NJ
08804-3408
US

V. Phone/Fax

Practice location:
  • Phone: 908-756-8898
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number40QB00320000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: