Active NPIIndividual provider

Dr. Kellianne Josephsen, DPT

Physical Therapist in South Orange, New Jersey

NPI Number1558819581
Practice location
177 Valley St, South Orange, NJ 07079-2836
Fax
—
Last updated
November 21, 2016

Kellianne Josephsen is a Physical Therapist based in South Orange, NJ. Kellianne Josephsen practices in South Orange, NJ and has the professional credentials of DPT. The NPI Number for Kellianne Josephsen is 1558819581 and holds a License No. 40QA01671700 (NJ). The current practice location address for Kellianne Josephsen is 177 Valley St, South Orange, NJ 07079-2836 and can be reached out via phone at 973-761-0077.

Provider Profile Details

NPI Number
1558819581
Provider Name
Kellianne Josephsen
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
177 Valley St, South Orange, NJ 07079-2836
Phone Number
973-761-0077
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2016
Last Update Date
November 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
177 Valley St
South Orange, NJ 07079-2836
Zip
07079-2836
Phone Number
973-761-0077
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
258 Runnymede RD
West Caldwell, NJ 07006-8117
City
West Caldwell
State
NJ
Zip
07006-8117
Phone Number
201-396-9712

License Information

License Number
40QA01671700
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 Dr. Kellianne Josephsen, DPT?

The NPI number of Dr. Kellianne Josephsen, DPT is 1558819581. It was assigned on September 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Kellianne Josephsen, DPT?

Dr. Kellianne Josephsen, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01671700.

Where does Dr. Kellianne Josephsen, DPT practice?

The practice location is 177 Valley St, South Orange, NJ 07079-2836. The office can be reached at 973-761-0077 (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 1558819581 directly on the NPPES registry website.

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