KYLE DAVID HERRICK DPT
NPI 1972995454
Physical Therapist - Pediatrics in Wayne, NJ

Q: What is Kyle Herrick's NPI number?

The NPI number for Kyle Herrick is 1972995454. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Q: What is Kyle Herrick's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Herrick was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 20, 2015Accepts Medicare Assignment

2282 HAMBURG TPKE STE A, WAYNE, NJ 07470(201) 320-4737(862) 330-3186 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2020, May 17, 2018, Apr 26, 2018 (3 updates tracked since 2018).

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About Kyle David Herrick Dpt NPPES

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

KYLE DAVID HERRICK DPT (NPI 1972995454) is an individual pediatrics provider in Wayne, New Jersey, licensed in New Jersey (40QA01562000) and active in the NPI registry since February 2015. He maintains a secondary practice location in Manalapan and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972995454

Entity TypeIndividualMale

Primary Taxonomy2251P0200X

Provider Legal NameKYLE DAVID HERRICKCredential: DPT

Location Address2282 HAMBURG TPKE STE AWayne, NJ 07470-6291

Mailing Address2282 Hamburg Tpke Ste AWayne, NJ 07470-6291 · (973) 800-4050 · Fax (862) 330-3186

Phone(201) 320-4737

Fax(862) 330-3186

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 20, 2015

Last NPPES UpdateDecember 1, 20203 updates tracked since enumeration

NPPES CertifiedDecember 1, 2020

✔ NPI 1972995454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in NJ · 40QA01562000

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 40QA01562000 (NJ)

2282 HAMBURG TPKE STE A, Wayne, NJ 07470

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Secondary Practice Location 1

Location 1300 Corporate Center Dr, Suite 100Manalapan, NJ 07726-8736 · Phone (732) 761-0302 · Fax (732) 761-0305

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

Kyle David Herrick Dpt 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 ID1759637861

PECOS Enrollment IDI20180703001278

Other Providers at the Same Location NPPES 2

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

HERRICK HOME CARE PHYSICAL THERAPY ORTHOPEDIC & PEDIATRIC SERVICES PC

Physical Therapist (Orthopedic)

2282 HAMBURG TPKE STE A
WAYNE, NJ 07470

Passaic County (973) 800-4050

SAMANTHA EMILY HERRICK CCC-SLP

Speech-Language Pathologist

2282 HAMBURG TPKE STE A
WAYNE, NJ 07470

Passaic County (973) 800-4050

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 Kyle Herrick's NPI number?

The NPI number for Kyle Herrick is 1972995454. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Where is Kyle Herrick located?

Kyle Herrick practices at 2282 Hamburg Tpke Ste A, Wayne, NJ 07470. The listed phone number is (201) 320-4737.

What is Kyle Herrick's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Kyle Herrick enrolled in Medicare?

Yes. Kyle Herrick 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 Kyle Herrick was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.