Active NPIIndividual providerSole proprietor

Ivy Kalusa, PT

Physical Therapist in Atco, New Jersey

NPI Number1184807596
Practice location
114 Hayes Mill RD, Atco, NJ 08004-2457
Fax
—
Last updated
April 9, 2018

Ivy Kalusa is a Physical Therapist based in Atco, NJ. Ivy Kalusa practices in Atco, NJ and has the professional credentials of PT. The NPI Number for Ivy Kalusa is 1184807596 and holds a License No. 40qa01205000 (NJ). The current practice location address for Ivy Kalusa is 114 Hayes Mill RD, Atco, NJ 08004-2457 and can be reached out via phone at 856-753-2000.

Provider Profile Details

NPI Number
1184807596
Provider Name
Ivy Kalusa
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
114 Hayes Mill RD, Atco, NJ 08004-2457
Phone Number
856-753-2000
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Other Names
Ivy De Chavez (Former Name)
Provider Enumeration Date
December 7, 2007
Last Update Date
April 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Hayes Mill RD
Atco, NJ 08004-2457
City
Atco
Zip
08004-2457
Phone Number
856-753-2000
Atco, NJ 08004Get directions →

Provider Business Mailing Address Details

Address
2249 Leon CT
Atco, NJ 08004-2821
City
Atco
State
NJ
Zip
08004-2821
Phone Number
609-678-6536

License Information

License Number
40qa01205000
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 Ivy Kalusa, PT?

The NPI number of Ivy Kalusa, PT is 1184807596. It was assigned on December 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Ivy Kalusa, PT?

Ivy Kalusa, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40qa01205000.

Where does Ivy Kalusa, PT practice?

The practice location is 114 Hayes Mill RD, Atco, NJ 08004-2457. The office can be reached at 856-753-2000 (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 1184807596 directly on the NPPES registry website.

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