Individual provider Active NPI

Neetaben Mansukhbhai Khunt, P.T.

  • Physical Therapist
  • Parsippany, NJ
National Provider Identifier
1023407731
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01579600 Issued in NJ
Practice address
3 Crescent Dr
Parsippany, NJ 07054-1604
Phone
(201) 494-2557
NPI assigned
Jan 19, 2015
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035193 NY
Physical Therapist 225100000X 40QA01579600 NJ Primary

Addresses

Primary practice location

3 Crescent Dr
Parsippany, NJ 07054-1604

Mailing address

105 White Oak LN
Ste 103
Old Bridge, NJ 08857-1975
Phone (708) 663-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150305001022 NJ Practitioner - Physical Therapist in Private Practice 6204152465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Care Physical Therapy LLCGroup PAC ID 7214356443, 2 clinicians

Practice addresses (Care Compare)

109 White Oak LN
Suite 54
Old Bridge, NJ 08857-1981
Phone (708) 663-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01579600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Center, P.C. Physical Therapist CurrentSince Jan 26, 2015 Accepting new patients
Prime Care Physical Therapy LLC CurrentSince Aug 1, 2020 Accepting new patients
Healing Joints Physical Therapy LLC Physical Therapist CurrentSince Oct 7, 2019 Accepting new patients
Old Bridge Physical Therapy Associates PC Physical Therapist PastSince Aug 23, 2020 Accepting new patients
Prospect Medical PC PastSince Jan 26, 2015 Accepting new patients

Locations

1804 Oak Tree Rd
Ste 2
Edison, NJ 08820
Phone (732) 549-0051

277 Prospect Ave
Ste Lg
Hackensack, NJ 07601
Phone (201) 968-0303

105 White Oak Ln
Ste 103
Old Bridge, NJ 08857
Phone (708) 663-9200

109 White Oak Ln
Ste 54
Old Bridge, NJ 08857
Phone (708) 663-9200

Organizations & group practices 5

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": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1023407731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WHITE OAK LN",
            "address_2": "STE 103",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571975",
            "telephone_number": "708-663-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CRESCENT DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541604",
            "telephone_number": "201-494-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUNT",
        "first_name": "NEETABEN",
        "middle_name": "MANSUKHBHAI",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035193",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01579600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.