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

Mr. Kim Antonio

Individual provider Physical Therapist · NPI 1356746275

Mr. Kim Antonio is a Physical Therapist in Lodi, New Jersey. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

103 Marion Pepe Dr Apt A
Lodi, NJ 07644-7824
Phone: (954) 682-6481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1580 Sawgrass Corporate Pkwy, Sunrise, FL 33323-2859 — (956) 332-4445

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01700400 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 40QA01700400
Physical Therapist Taxonomy 225100000X

Record details

NPI number1356746275
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 4, 2014
Last updated in NPPESOctober 23, 2019
Mailing address103 Marion Pepe Dr Apt A, Lodi, NJ 07644-7824

Other providers in Lodi