Provider Demographics
NPI:1225512338
Name:KINESIOCARE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:KINESIOCARE PHYSICAL THERAPY
Other - Org Name:PIVOTAL PHYSICAL THERAPY & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DPT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:KONDOS
Authorized Official - Last Name:ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-395-9955
Mailing Address - Street 1:315 FORSGATE DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1539
Mailing Address - Country:US
Mailing Address - Phone:732-485-5221
Mailing Address - Fax:
Practice Address - Street 1:315 FORSGATE DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-1539
Practice Address - Country:US
Practice Address - Phone:732-485-5221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty