Kim R Minervini, PT
Physical Therapist in Ridgewood, New Jersey
1275692824- Practice location
- 104 Chestnut St, Ridgewood, NJ 07450-2502
- Phone
- 201-493-8111
- Fax
- 201-493-8279
- Last updated
- August 29, 2013
Kim R Minervini is a Physical Therapist based in Ridgewood, NJ. Kim R Minervini practices in Ridgewood, NJ and has the professional credentials of PT. The NPI Number for Kim R Minervini is 1275692824 and holds a License No. 40QA00792200 (NJ). The current practice location address for Kim R Minervini is 104 Chestnut St, Ridgewood, NJ 07450-2502 and can be reached out via phone at 201-493-8111 and via fax at 201-493-8279.
Provider Profile Details
- NPI Number
- 1275692824
- Provider Name
- Kim R Minervini
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 104 Chestnut St, Ridgewood, NJ 07450-2502
- Phone Number
- 201-493-8111
- Fax Number
- 201-493-8279
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- -- Kim R Soscia, PT (Former Name)
- Provider Enumeration Date
- December 8, 2006
- Last Update Date
- August 29, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 104 Chestnut St
Ridgewood, NJ 07450-2502 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-2502
- Phone Number
- 201-493-8111
- Fax Number
- 201-493-8279
Provider Business Mailing Address Details
- Address
- 79 Bearfort RD
West Milford, NJ 07480-1401 - City
- West Milford
- State
- NJ
- Zip
- 07480-1401
- Phone Number
- 973-903-3346
License Information
- License Number
- 40QA00792200
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kim R Minervini, PT?
The NPI number of Kim R Minervini, PT is 1275692824. It was assigned on December 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Kim R Minervini, PT?
Kim R Minervini, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00792200.
Where does Kim R Minervini, PT practice?
The practice location is 104 Chestnut St, Ridgewood, NJ 07450-2502. The office can be reached at 201-493-8111 (phone) or 201-493-8279 (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 1275692824 directly on the NPPES registry website.