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

Individual provider Physical Therapist · NPI 1174313175

Kishan Padaliya is a Physical Therapist in Private Practice in Hackensack, New Jersey. Qualified in 2025, 1 year ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

50 Main St Spc D
Hackensack, NJ 07601-7389
Phone: (551) 244-1113
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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 40QA02332500 (NJ)

Record details

NPI number1174313175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 12, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address5 Brant Pl, Morristown, NJ 07960-4781

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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