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

Individual provider Physical Therapy Assistant · NPI 1750937579

Kathleen Boniakowski is a Physical Therapy Assistant in Green Brook, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

2 Blue Hills Ter
Green Brook, NJ 08812-2303
Phone: (732) 690-8431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1750937579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESAugust 16, 2019
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002