Active NPIIndividual provider

Kellie J Carpenter

Physical Therapist in Montvale, New Jersey

NPI Number1114420049
Practice location
221 W Grand Ave, Montvale, NJ 07645-1729
Fax
—
Last updated
March 16, 2018

Kellie Jean Carpenter is a Physical Therapist based in Montvale, NJ. Kellie Jean Carpenter practices in Montvale, NJ. The NPI Number for Kellie Jean Carpenter is 1114420049 and holds a License No. 40QA01779100 (NJ). The current practice location address for Kellie Jean Carpenter is 221 W Grand Ave, Montvale, NJ 07645-1729 and can be reached out via phone at 201-307-9209.

Provider Profile Details

NPI Number
1114420049
Provider Name
Kellie Jean Carpenter
Provider Entity Type
Individual
Gender
Female
Address
221 W Grand Ave, Montvale, NJ 07645-1729
Phone Number
201-307-9209
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2018
Last Update Date
March 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
221 W Grand Ave
Montvale, NJ 07645-1729
Zip
07645-1729
Phone Number
201-307-9209
Montvale, NJ 07645Get directions →

Provider Business Mailing Address Details

Address
34 Woodmere Ln
Tenafly, NJ 07670-1923
City
Tenafly
State
NJ
Zip
07670-1923

License Information

License Number
40QA01779100
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kellie J Carpenter?

The NPI number of Kellie J Carpenter is 1114420049. It was assigned on March 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Kellie J Carpenter?

Kellie J Carpenter is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01779100.

Where does Kellie J Carpenter practice?

The practice location is 221 W Grand Ave, Montvale, NJ 07645-1729. The office can be reached at 201-307-9209 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114420049 directly on the NPPES registry website.

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