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

Kennedy M Ilagan, PT/DPT

Individual provider Physical Therapist · NPI 1932988656

Kennedy M Ilagan, PT/DPT is a Physical Therapist in Private Practice in Marlton, New Jersey. Qualified in 2023, 3 years ago. Practices with Twin Boro Physical Therapy Associates, PA, a 91-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
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Practice location Address checks out

525 Route 73 Ste 303A
Marlton, NJ 08053-9644
Phone: (856) 267-5660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02203100 (NJ)

Record details

NPI number1932988656
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT/DPT
Sole proprietorNo
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Twin Boro Physical Therapy Associates, Pa — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marlton