Kimberly Ellsworth, PT, DPT
Physical Therapist in Waldwick, New Jersey
1659039485- Practice location
- 136 Hopper Ave, Waldwick, NJ 07463-1500
- Phone
- 201-493-7770
- Fax
- 201-493-7780
- Last updated
- November 29, 2021
Kimberly Ellsworth is a Physical Therapist based in Waldwick, NJ. Kimberly Ellsworth practices in Waldwick, NJ and has the professional credentials of PT, DPT. The NPI Number for Kimberly Ellsworth is 1659039485 and holds a License No. 40QA02056000 (NJ). The current practice location address for Kimberly Ellsworth is 136 Hopper Ave, Waldwick, NJ 07463-1500 and can be reached out via phone at 201-493-7770 and via fax at 201-493-7780.
Provider Profile Details
- NPI Number
- 1659039485
- Provider Name
- Kimberly Ellsworth
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 136 Hopper Ave, Waldwick, NJ 07463-1500
- Phone Number
- 201-493-7770
- Fax Number
- 201-493-7780
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 29, 2021
- Last Update Date
- November 29, 2021
- Certification Date
- November 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 136 Hopper Ave
Waldwick, NJ 07463-1500 - City
- Waldwick
- State
- New Jersey
- Zip
- 07463-1500
- Phone Number
- 201-493-7770
- Fax Number
- 201-493-7780
Provider Business Mailing Address Details
- Address
- 605 Main St
Hackensack, NJ 07601-5914 - City
- Hackensack
- State
- NJ
- Zip
- 07601-5914
- Phone Number
- 201-488-0488
License Information
- License Number
- 40QA02056000
- 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 Kimberly Ellsworth, PT, DPT?
The NPI number of Kimberly Ellsworth, PT, DPT is 1659039485. It was assigned on November 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Kimberly Ellsworth, PT, DPT?
Kimberly Ellsworth, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02056000.
Where does Kimberly Ellsworth, PT, DPT practice?
The practice location is 136 Hopper Ave, Waldwick, NJ 07463-1500. The office can be reached at 201-493-7770 (phone) or 201-493-7780 (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 1659039485 directly on the NPPES registry website.