KIMBERLY HERMOZA (DPT) – Physical Therapist, NPI 1679296636

KIMBERLY HERMOZA (DPT) is a healthcare provider. based in Matawan, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 40QA02130200 (NJ). The NPI Number for KIMBERLY HERMOZA (DPT) is 1679296636

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY HERMOZA (DPT)
NPI
1679296636
Phone
(732) 320-6285
Address
144 ROUTE 34
Enumeration Date
23 September 2022
Last Update Date
23 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7324151401
Graduation Year
2022 (4 years ago)
PAC ID
7416323431
Group Practice PAC ID
0749269637
Professional Enrollment ID
I20221017001967
Address ID
NJ085273850JA728XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,954 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for KIMBERLY HERMOZA (DPT)

  • 144 ROUTE 34

    MATAWAN, NJ 077472132

    Phone: (732) 320-6285

    Fax: (732) 374-9864

    Mailing address matches the actual address.

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: 2022-10-17

PECOS data refreshed: 2026-06-15

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
I20221017001967IPhysical 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 minutes1,69874$0
97140Therapy procedure using manual technique, each 15 minutes77879$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39712$0
97016Application of blood vessel compression device10419$0
97750Test or measurement for functional capacity, each 15 minutes7831$0
View full utilization report →

Insurance plans in this area (ZIP 07747)

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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: 0749269637View full group profile
NameSpecialtyState
C H I R O P R A C T I CNJ
C H I R O P R A C T I CNJ
Occupational Therapist In Private PracticeNJ
Physical Medicine And Rehabilitation, Pain ManagementNJ
Physical Medicine And Rehabilitation, Sports MedicineNJ
Physical Therapist In Private PracticeNJ
Physical Medicine And RehabilitationNJ
-NJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

How do payers reference KIMBERLY HERMOZA (DPT)?
For KIMBERLY HERMOZA (DPT), use NPI 1679296636 as the unique 10-digit identifier.
Is KIMBERLY HERMOZA (DPT) still an active registrant?
KIMBERLY HERMOZA (DPT) carries an active NPI according to the public dataset.
What area of care is associated with KIMBERLY HERMOZA (DPT)?
KIMBERLY HERMOZA (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KIMBERLY HERMOZA (DPT)?
Directory geography for KIMBERLY HERMOZA (DPT) centers on Matawan, New Jersey.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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