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NPI Code Detail

MEDICARE: KINETIC PHYSICAL THERAPY, PC

MEDICARE: KINETIC PHYSICAL THERAPY, PC
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
1111NR0400XRehabilitation Chiropractor
2225100000XPhysical Therapist
3225X00000XOccupational Therapist
4363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1629017579
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINETIC PHYSICAL THERAPY, PC
Provider Business Mailing Address
First Line : 171 LAKE ST
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2089
Country : US
Telephone Number : 201-327-1990
Fax Number : 201-327-1921
Provider Business Practice Location Address
First Line : 171 LAKE ST
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2089
Country : US
Telephone Number : 201-327-1990
Fax Number : 201-327-1921
Authorized Official
Title or Position : OWNER
Name : MR. EVAN M CHAIT
Credential : P.T.
Telephone Number : 201-327-1990
Provider Enumeration Date : 06/06/2006
Last Update Date : 08/02/2022

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07446-2089
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Practice Fax: 201-327-1921

Directions to “KINETIC PHYSICAL THERAPY, PC ” Practice Location

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