Active NPIIndividual providerSole proprietor

Kyle D Herrick, DPT

Physical Therapist, Pediatrics in Wayne, New Jersey

NPI Number1972995454
Practice location
2282 Hamburg Tpke Ste A, Wayne, NJ 07470-6291
Fax
862-330-3186
Last updated
December 1, 2020

Kyle David Herrick is a Physical Therapist, Pediatrics based in Wayne, NJ. Kyle David Herrick practices in Wayne, NJ and has the professional credentials of DPT. The NPI Number for Kyle David Herrick is 1972995454 and holds a License No. 40QA01562000 (NJ). The current practice location address for Kyle David Herrick is 2282 Hamburg Tpke Ste A, Wayne, NJ 07470-6291 and can be reached out via phone at 201-320-4737 and via fax at 862-330-3186.

Provider Profile Details

NPI Number
1972995454
Provider Name
Kyle David Herrick
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
2282 Hamburg Tpke Ste A, Wayne, NJ 07470-6291
Phone Number
201-320-4737
Fax Number
862-330-3186
Primary Taxonomy
Physical Therapist, Pediatrics · 2251P0200X
Sole Proprietor
Yes
Provider Enumeration Date
February 20, 2015
Last Update Date
December 1, 2020
Certification Date
December 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2282 Hamburg Tpke Ste A
Wayne, NJ 07470-6291
City
Wayne
Zip
07470-6291
Phone Number
201-320-4737
Fax Number
862-330-3186
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
2282 Hamburg Tpke Ste A
Wayne, NJ 07470-6291
City
Wayne
State
NJ
Zip
07470-6291
Phone Number
973-800-4050
Fax Number
862-330-3186

License Information

License Number (1)
40QA01562000
License State (1)
NJ
Taxonomy (1)
Physical Therapist, Orthopedic · 2251X0800X
License Number (2)
40QA01562000
License State (2)
NJ
Taxonomy (2)
Physical Therapist, Pediatrics · 2251P0200X · 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 Kyle D Herrick, DPT?

The NPI number of Kyle D Herrick, DPT is 1972995454. It was assigned on February 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Kyle D Herrick, DPT?

Kyle D Herrick, DPT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in NJ under license number 40QA01562000.

Where does Kyle D Herrick, DPT practice?

The practice location is 2282 Hamburg Tpke Ste A, Wayne, NJ 07470-6291. The office can be reached at 201-320-4737 (phone) or 862-330-3186 (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 1972995454 directly on the NPPES registry website.

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