MEDICARE: KELSEY STROMBERG

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	:	1992686778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY STROMBERG

Provider Business Mailing Address
First Line	:	647 ROUTE 18 STE I
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-3747
Country	:	US
Telephone Number	:	732-390-8100
Fax Number	:	732-626-6767

Provider Business Practice Location Address
First Line	:	1801 MAIN ST STE 1B
Second Line	:
City	:	LAKE COMO
State	:	NJ
Zip	:	07719-2972
Country	:	US
Telephone Number	:	732-390-8100
Fax Number	:	732-626-6767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	05/21/2026

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Directions to “ KELSEY STROMBERG ” Practice Location

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