KYLE DAVID HERRICK (NPI# 1972995454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972995454 |
| Entity Type | Individual |
| Full Name | KYLE DAVID HERRICK |
| Credential | DPT |
| Practice Address |
19 Grove St Apt B Wanaque NJ 07465 |
| Mailing Address |
19 Grove St Apt B Wanaque NJ 07465-1920 |
| Practice Telephone | 2013204737 |
| Mailing Telephone | 2013204737 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
40QA01562000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01562000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Corporate Center Dr, Suite 100, Manalapan, NJ 077268736 | 7327610302 | 7327610305 |
| Street Address |
19 GROVE ST APT B |
| City | WANAQUE |
| State | NJ |
| Zip Code | 07465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861365 | Herrick Home Care Physical Therapy Orthopedic & Pediatric Services PC | Speech-Language Pathologist | 19 Grove St Apt B, Wanaque, NJ 07465-1920 | 2018-08-14 |
| 1932693678 | Samantha Emily Herrick | Speech-Language Pathologist | 19 Grove St Apt B, Wanaque, NJ 07465-1920 | 2018-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295815710 | John Michael Freiler | Dentist | 2307 Warrens Way, Wanaque, NJ 07465 | 2006-10-17 |
| 1972855377 | Amy Burgess | Occupational Therapist | 37 Mountain Lakes Dr, Wanaque, NJ 07465-1016 | 2012-10-09 |
| 1538567540 | Michael Difranco | Occupational Therapist | 54 Cannonball Rd, Wanaque, NJ 07465-1044 | 2014-12-08 |
| 1639719024 | Katherine Elizabeth Moore | Behavioral Analyst | 49 Cannonball Rd, Wanaque, NJ 07465-1048 | 2020-01-14 |
| 1083267538 | Jacquelynn Vogel | Speech-Language Pathologist | 15 Graham Pl, Wanaque, NJ 07465-1604 | 2019-07-23 |
| 1427260702 | Feiler Dental Associates, LLC | Dentist | 99 Conklintown Rd, Wanaque, NJ 07465-1606 | 2007-05-07 |
| 1134378862 | In Network Dental, LLC | Preferred Provider Organization | 99 Conklintown Rd, Wanaque, NJ 07465-1606 | 2008-09-18 |
| 1780137935 | Milcah Graves | Nurse Practitioner | 8a Brookside Hts, Wanaque, NJ 07465-1619 | 2016-07-24 |
| 1811511983 | Patricia A Bailey | Physical Therapist | 11c Brookside Hts, Wanaque, NJ 07465-1622 | 2020-06-03 |
| 1265607089 | Andrew Kunish Jr. | Urology | 1h Brookside Hts, Wanaque, NJ 07465-1628 | 2008-04-23 |
| Find all providers in zip 07465 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467424 | Brittany Kranson | Physical Therapist | 1873 Route 70 E Ste 1, Cherry Hill, NJ 08003-2034 | 2020-11-06 |
| 1053926386 | Natalia Ochalski | Physical Therapist | 570 South Avenue E, Bldg G, Suite C, Cranford, NJ 07016 | 2020-09-14 |
| 1871104463 | Katja Zeisler | Physical Therapist | 395 Grand St Fl 3, Jersey City, NJ 07302-4238 | 2020-08-16 |
| 1760007256 | Strongholistics, LLC | Physical Therapist | 105 Grove St Ste 14, Montclair, NJ 07042-4053 | 2020-06-10 |
| 1255951877 | Physiopros Physical Therapy & Wellness | Physical Therapist | 49 Overlook Rd, Morristown, NJ 07960-5805 | 2020-04-23 |
| 1730715038 | Sabrina Casares | Physical Therapist | 770 Lighthouse Dr Unit 170, Barnegat, NJ 08005-2373 | 2020-03-18 |
| 1750912820 | Brianna Carri, Pt, Dpt LLC | Physical Therapist | 32 Deanna Dr Apt 66, Hillsborough, NJ 08844-4851 | 2020-01-28 |
| 1265071187 | Ashley Mak Performance and Rehabilitation, PC | Physical Therapist | 1320 Adams St Ste B, Hoboken, NJ 07030-2370 | 2019-12-23 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.