Kinetic Physical Therapy, Pc is a medicare enrolled "Nurse Practitioner - Family" provider in Ramsey, New Jersey. Their current practice location is
171 Lake St, Ramsey, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 327-1990.
Kinetic Physical Therapy, Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kinetic Physical Therapy, Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1629017579.
Healthcare Provider's Profile
| Full Name | Kinetic Physical Therapy, Pc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 171 Lake St, Ramsey, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629017579
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597774612
- Enrollment ID: O20060418000151
Medical Identifiers
Medical identifiers for Kinetic Physical Therapy, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629017579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kinetic Physical Therapy, Pc acts as a billing entity for following providers:
| Provider Name | Evan M Chait |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1487695961
PECOS PAC ID: 8729075973
Enrollment ID: I20040428001536 |
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| Provider Name | Anthony Calabrese |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1760079552
PECOS PAC ID: 2466865936
Enrollment ID: I20201231000641 |
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| Provider Name | Peter Villavecchia |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1366101461
PECOS PAC ID: 0547653321
Enrollment ID: I20220201000610 |
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| Provider Name | Christopher Brady |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1467100834
PECOS PAC ID: 7719355940
Enrollment ID: I20221121000106 |
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| Provider Name | Caitlin Marie Long |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1922716679
PECOS PAC ID: 3678939972
Enrollment ID: I20230511000921 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kinetic Physical Therapy, Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kinetic Physical Therapy, Pc
171 Lake St,
Ramsey, NJ 07446-2089
Ph: (201) 327-1990 | Kinetic Physical Therapy, Pc
171 Lake St,
Ramsey, NJ 07446-2089
Ph: (201) 327-1990 |
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