Kenneth Fahy, PT
NPI 1063763852 · Physical Therapist · South Amboy, NJ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Fahy, PT is a Physical Therapist provider in South Amboy, NJ (NPI 1063763852).
Provider details
- NPI number
- 1063763852
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QA01453900 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2020-06-15
- Certified
- 2020-06-15
Frequently asked questions
- What is Kenneth Fahy's NPI number?
- Kenneth Fahy's National Provider Identifier (NPI) is 1063763852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Fahy's specialty?
- Kenneth Fahy is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kenneth Fahy located?
- Kenneth Fahy's practice location on file with NPPES is 4302 Klimek Pl, South Amboy, NJ 08879-2942.
- What is Kenneth Fahy's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Fahy is (732) 925-7397.
- Does Kenneth Fahy accept Medicare?
- Kenneth Fahy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Fahy's NPI active?
- Yes — Kenneth Fahy's NPI (1063763852) is active in the NPPES registry as of the last update on 2020-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.