Active NPIIndividual provider

Katelyn E Antoniewicz, DPT

Physical Therapist in Forked River, New Jersey

NPI Number1235614538
Practice location
731 Lacey RD Ste 3, Forked River, NJ 08731-1364
Fax
609-242-6783
Last updated
March 9, 2023

Katelyn Elizabeth Antoniewicz is a Physical Therapist based in Forked River, NJ. Katelyn Elizabeth Antoniewicz practices in Forked River, NJ and has the professional credentials of DPT. The NPI Number for Katelyn Elizabeth Antoniewicz is 1235614538 and holds a License No. 040QA0184480 (NJ). The current practice location address for Katelyn Elizabeth Antoniewicz is 731 Lacey RD Ste 3, Forked River, NJ 08731-1364 and can be reached out via phone at 609-242-6780 and via fax at 609-242-6783.

Provider Profile Details

NPI Number
1235614538
Provider Name
Katelyn Elizabeth Antoniewicz
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
731 Lacey RD Ste 3, Forked River, NJ 08731-1364
Phone Number
609-242-6780
Fax Number
609-242-6783
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Katelyn Demalo (Former Name)
Provider Enumeration Date
October 2, 2018
Last Update Date
March 9, 2023
Certification Date
March 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
731 Lacey RD Ste 3
Forked River, NJ 08731-1364
Zip
08731-1364
Phone Number
609-242-6780
Fax Number
609-242-6783
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
City
White Plains
State
NY
Zip
10605-5224
Phone Number
914-294-4050
Fax Number
631-760-8306

License Information

License Number (1)
040QA0184480
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
J1-0004050
License State (2)
DE
Taxonomy (2)
Physical Therapist · 225100000X

Legacy Identifiers

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

Other Physical Therapists near Forked River, NJ

View all Physical Therapists in Forked River →

Frequently Asked Questions

What is the NPI number of Katelyn E Antoniewicz, DPT?

The NPI number of Katelyn E Antoniewicz, DPT is 1235614538. It was assigned on October 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Katelyn E Antoniewicz, DPT?

Katelyn E Antoniewicz, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 040QA0184480.

Where does Katelyn E Antoniewicz, DPT practice?

The practice location is 731 Lacey RD Ste 3, Forked River, NJ 08731-1364. The office can be reached at 609-242-6780 (phone) or 609-242-6783 (fax).

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 1235614538 directly on the NPPES registry website.

Browse related providers