NPPES file of Aug 9, 2026

Kenneth P. Fahy, PT

Physical Therapist · South Amboy, NJ

Kenneth P. Fahy, PT is a physical therapist with a practice address in South Amboy, New Jersey, and NPI 1063763852, issued on Sep 20, 2012. Check the license (New Jersey 40QA01453900, as entered in NPPES) with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063763852
Name
Kenneth P. Fahy
Credential
PT
Primary taxonomy
Physical Therapist 225100000X
License number
40QA01453900 NJ
Self-reported in NPPES; status is on the state search
Practice location
4302 Klimek PL, South Amboy, NJ 08879
Phone
(732) 925-7397
Enumerated
Sep 20, 2012
Record last updated
Jun 15, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20121128000236); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Kenneth P. Fahy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
    Search for license 40QA01453900
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Beam Chiropractic Health CenterHowell, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenneth P. Fahy among 9,733 physical therapist records in New Jersey

Kenneth P. Fahy, PT is one of 9,733 physical therapist records with a practice address in New Jersey. 40% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 41% of them.

  • NPI issued2012 · 41% of these records are older, 55% newer
  • In a Medicare fileYes · 40% of these records are
  • In the CMS Doctors and Clinicians fileYes · 43% of these records are
  • Graduated2012 · median 2015 among the 4,191 with a school on file
  • Record last updated2020 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

2 physical therapist records list a practice address in South Amboy

They are 2 of the 165 NPPES records with a practice address in South Amboy, and 9,733 physical therapist records in New Jersey.

The 8 physical therapist records with the nearest ZIP codes

  1. Eliza Ferrer, PTSouth Amboy, NJ 088791720620107
  2. Grace Lyzette Umali, DPTLaurence Harbor, NJ 088791174061055
  3. Tiffany Abdullah, PTSouth Bound Brook, NJ 088801275799843
  4. Leticia AntunesSomerville, NJ 088761023587847
  5. Eileen Cahatol, PT, DPTSomerville, NJ 088761952049280
  6. Nichole Dejesu, PTSomerville, NJ 088761144940875
  7. Carly Delaune, DPTBranchburg, NJ 088761225703473
  8. Matthew Farag, DPTSomerville, NJ 088761548773229

Common questions

What is Kenneth P. Fahy, PT's NPI number?

Kenneth P. Fahy, PT's National Provider Identifier (NPI) is 1063763852, issued on Sep 20, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth P. Fahy, PT located?

The NPPES record lists a practice address at 4302 Klimek PL, South Amboy, NJ, 08879. Phone: (732) 925-7397. Providers update this record themselves, so call before visiting.

How can I verify Kenneth P. Fahy, PT's license?

NPPES lists New Jersey license number 40QA01453900, as entered by the provider. Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.