Individual provider Active NPI

Navsharan Kaur Khabra, PHYSICAL THERAPIST

  • Physical Therapist
  • Bergenfield, NJ
National Provider Identifier
1013428978
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01726500 Issued in NJ
Practice address
19 Regent St
Bergenfield, NJ 07621-3908
Phone
(201) 246-6277
NPI assigned
Oct 18, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01726500 NJ Primary

Addresses

Primary practice location

19 Regent St
Bergenfield, NJ 07621-3908

Mailing address

69 Intervale Rd
Boonton, NJ 07005-1050

Other practice location 1

69 Intervale Rd
Boonton, NJ 07005-1050
Phone (916) 276-3661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01726500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 12, 2018 Accepting new patients
Balanced Body Rehabilitation LLC Physical Therapist CurrentSince Oct 17, 2017 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 12, 2018 Accepting new patients

Locations

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013428978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 INTERVALE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 REGENT ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213908",
            "telephone_number": "201-246-6277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Intervale Rd",
            "address_purpose": "LOCATION",
            "city": "Boonton",
            "state": "NJ",
            "postal_code": "070051050",
            "country_code": "US",
            "telephone_number": "916-276-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHABRA",
        "first_name": "NAVSHARAN",
        "middle_name": "KAUR",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01726500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.