KENNETH P FAHY PT
NPI 1063763852
Physical Therapist in South Amboy, NJ

Active since September 20, 2012Accepts Medicare Assignment
4302 KLIMEK PL, SOUTH AMBOY, NJ 08879(732) 925-7397 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2020, May 13, 2020 (2 updates tracked since 2020).

About Kenneth P Fahy Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH P FAHY PT (NPI 1063763852) is an individual physical therapist in South Amboy, New Jersey, licensed in New Jersey (40QA01453900) and active in the NPI registry since September 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1063763852
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKENNETH P FAHYCredential: PT
Location Address4302 KLIMEK PLSouth Amboy, NJ 08879-2942
Mailing Address4302 Klimek PlSouth Amboy, NJ 08879-2942 · (732) 925-7397
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 20, 2012
Last NPPES UpdateJune 15, 20202 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
NPI 1063763852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NJ · 40QA01453900
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4302 KLIMEK PL, South Amboy, NJ 08879

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth P Fahy Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527210426
PECOS Enrollment IDI20121128000236

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4302 KLIMEK PL
SOUTH AMBOY, NJ 08879

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Fahy's NPI number?

The NPI number for Kenneth Fahy is 1063763852. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Kenneth Fahy located?

Kenneth Fahy practices at 4302 Klimek Pl, South Amboy, NJ 08879. The listed phone number is (732) 925-7397.

What is Kenneth Fahy's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kenneth Fahy enrolled in Medicare?

Yes. Kenneth Fahy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Fahy was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.