KIM NOLAN (PT) – Physical Therapist, NPI 1609929678

KIM NOLAN (PT) is a healthcare provider. based in Hackettstown, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 008977-1 (NY). The NPI Number for KIM NOLAN (PT) is 1609929678

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
KIM NOLAN (PT)
NPI
1609929678
Phone
(908) 852-7575
Address
490 SCHOOLEYS MOUNTAIN RD STE 3B
Enumeration Date
20 January 2007
Last Update Date
10 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9088527575110
Graduation Year
1985 (41 years ago)
PAC ID
4183851157
Group Practice PAC ID
7315992542
Professional Enrollment ID
I20131219000026
Address ID
NJ078404002HA490XXRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

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Provider Addresses for KIM NOLAN (PT)

  • 490 SCHOOLEYS MOUNTAIN RD STE 3B

    HACKETTSTOWN, NJ 078404002

    Phone: (908) 852-7575

    Type: Mailing

  • Braddock Road, Fairland, Annandale, Fairfax County, Virginia, 20124, United States

    ANNANDALE, NJ 088013129

    Phone: (908) 735-6866

    Type: Location

  • 7, Fairview Avenue, Clinton, Hunterdon County, New Jersey, 08809, United States

    CLINTON, NJ 088091357

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131219000026IPhysical Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,10453$0
97140Therapy procedure using manual technique, each 15 minutes1,09755$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes66551$0
97530Therapy procedure using functional activities7729$0
97162Evaluation for physical therapy, typically 30 minutes3127$0
View full utilization report →

Insurance plans in this area (ZIP 07840)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315992542View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

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Frequently asked questions

What NPI should I save for KIM NOLAN (PT)?
Save NPI 1609929678 if you need a stable reference for KIM NOLAN (PT).
Is KIM NOLAN (PT) active in the national directory?
KIM NOLAN (PT)'s public NPI profile is in an active state.
What kind of provider is KIM NOLAN (PT)?
The page reflects Physical Therapist for KIM NOLAN (PT). Clinical services aligned with this taxonomy classification.
Where does public data place KIM NOLAN (PT)?
The snapshot lists Hackettstown, New Jersey for KIM NOLAN (PT); download NPPES for the complete set.
Is KIM NOLAN (PT) a real provider?
This page reflects official NPPES data for NPI 1609929678. Always confirm identity and privileges with the practice and licensing boards.

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