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

Kellie Jean Carpenter

Individual provider Physical Therapist · NPI 1114420049

Kellie Jean Carpenter is a Physical Therapist in Private Practice in Montvale, New Jersey. Qualified in 2017, 9 years ago. Practices with Sportscare of America, PC, a 132-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2018
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Practice location Address checks out

221 W Grand Ave
Montvale, NJ 07645-1729
Phone: (201) 307-9209
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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 40QA01779100 (NJ)

Record details

NPI number1114420049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2018
Last updated in NPPESMarch 16, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sportscare Of America, Pc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Montvale