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

Kristen Dacosta

Individual provider Pediatric Physical Therapist · NPI 1396313896

Kristen Dacosta is a Pediatric Physical Therapist in Shrewsbury, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

54 N Park Ave
Shrewsbury, NJ 07702-4413
Phone: (917) 406-0478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT40QA00773200 (NJ)

Record details

NPI number1396313896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2021
Last updated in NPPESJune 12, 2021
Certification dateJune 12, 2021
Mailing address152 Kings Hwy, Middletown, NJ 07748-2023

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