Active NPIIndividual provider

Kelley Dippold

Physical Therapy Assistant in Freehold, New Jersey

NPI Number1750771655
Practice location
901 W Main St, Freehold, NJ 07728-2537
Fax
—
Last updated
January 29, 2015

Kelley Dippold is a Physical Therapy Assistant based in Freehold, NJ. Kelley Dippold practices in Freehold, NJ. The NPI Number for Kelley Dippold is 1750771655 and holds a License No. 40QB00313900 (NJ). The current practice location address for Kelley Dippold is 901 W Main St, Freehold, NJ 07728-2537 and can be reached out via phone at 732-431-5200.

Provider Profile Details

NPI Number
1750771655
Provider Name
Kelley Dippold
Provider Entity Type
Individual
Gender
Female
Address
901 W Main St, Freehold, NJ 07728-2537
Phone Number
732-431-5200
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
January 29, 2015
Last Update Date
January 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
901 W Main St
Freehold, NJ 07728-2537
Zip
07728-2537
Phone Number
732-431-5200
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
10 Aspen CT
Jackson, NJ 08527-4903
City
Jackson
State
NJ
Zip
08527-4903

License Information

License Number
40QB00313900
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Kelley Dippold?

The NPI number of Kelley Dippold is 1750771655. It was assigned on January 29, 2015 and is currently active in the NPPES registry.

What is the specialty of Kelley Dippold?

Kelley Dippold is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00313900.

Where does Kelley Dippold practice?

The practice location is 901 W Main St, Freehold, NJ 07728-2537. The office can be reached at 732-431-5200 (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 1750771655 directly on the NPPES registry website.

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