Total Rehabilitation & Sports Medicine, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB07930700 Issued in NJ

Legal business name

TOTAL REHABILITATION & SPORTS MEDICINE, LLC

Practice address

380 Foothill Rd
Bridgewater, NJ 08807-2255

Phone

(908) 252-9900

Fax

(908) 252-9901

NPI assigned

Jun 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brinda Kantha-Sullivan, D.O.

Title

President

Phone

(908) 252-9900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1013145176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 FOOTHILL RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072255",
            "telephone_number": "908-252-9900",
            "fax_number": "908-252-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 FOOTHILL RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072255",
            "telephone_number": "908-252-9900",
            "fax_number": "908-252-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL REHABILITATION & SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "KANTHA-SULLIVAN",
        "authorized_official_first_name": "BRINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-252-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB07930700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.