Mr. Kim Antonio
Physical Therapist in Lodi, New Jersey
1356746275- Practice location
- 103 Marion Pepe Dr Apt A, Lodi, NJ 07644-7824
- Phone
- 954-682-6481
- Fax
- —
- Last updated
- October 23, 2019
Kim Antonio is a Physical Therapist based in Lodi, NJ. Kim Antonio practices in Lodi, NJ. The NPI Number for Kim Antonio is 1356746275 and holds a License No. 40QA01700400. The current practice location address for Kim Antonio is 103 Marion Pepe Dr Apt A, Lodi, NJ 07644-7824 and can be reached out via phone at 954-682-6481.
Provider Profile Details
- NPI Number
- 1356746275
- Provider Name
- Kim Antonio
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 103 Marion Pepe Dr Apt A, Lodi, NJ 07644-7824
- Phone Number
- 954-682-6481
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 4, 2014
- Last Update Date
- October 23, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Marion Pepe Dr Apt A
Lodi, NJ 07644-7824 - City
- Lodi
- State
- New Jersey
- Zip
- 07644-7824
- Phone Number
- 954-682-6481
Provider Business Mailing Address Details
- Address
- 103 Marion Pepe Dr Apt A
Lodi, NJ 07644-7824 - City
- Lodi
- State
- NJ
- Zip
- 07644-7824
- Phone Number
- 954-682-6481
License Information
- License Number (1)
- 40QA01700400
- Taxonomy (1)
- Physical Therapist · 225100000X
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 40QA01700400
- License State (3)
- NJ
- Taxonomy (3)
- 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 Mr. Kim Antonio?
The NPI number of Mr. Kim Antonio is 1356746275. It was assigned on November 4, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Kim Antonio?
Mr. Kim Antonio is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed under license number 40QA01700400.
Where does Mr. Kim Antonio practice?
The practice location is 103 Marion Pepe Dr Apt A, Lodi, NJ 07644-7824. The office can be reached at 954-682-6481 (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 1356746275 directly on the NPPES registry website.