Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaci Parks

Individual provider Physical Therapist · NPI 1093541179

Kaci Parks is a Physical Therapist in Private Practice in Edgewater, New Jersey. Qualified in 2024, 2 years ago. Practices with Vista Jv Partners LLC, a 126-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

517 River Road Edgewater Nj 07020
Edgewater, NJ 07020
Phone: (201) 849-8360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093541179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2024
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 6, 2024
Mailing address981 Us Highway 22, Bridgewater, NJ 08807-2946

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vista Jv Partners Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edgewater