K2 Physical Therapy LLC
Physical Therapist in Ho Ho Kus, NJ. Organization (NPI-2).
NPI number1104535673
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1104535673
- Entity type
- Organization (NPI-2)
- Legal business name
- K2 Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Nov 23, 2022
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRI
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
10 Dogwood LnHo Ho Kus, NJ 07423-1653
Phone 201-230-2357
Mailing address
10 Dogwood LnHo Ho Kus, NJ 07423-1653
Authorized official
Brendan John Kirk
Owner
2012302357
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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