Active NPI
Trinity Rehab Somerset PA
- Physical Therapy Clinic/Center
- Conshohocken, PA
National Provider Identifier
1063097640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- TRINITY REHAB SOMERSET PA
- Practice address
- 200 W Ridge Pike
Conshohocken, PA 19428-3702 - Phone
- (173) 221-9570
- NPI assigned
- Mar 15, 2021
- Organization subpart
- Yes
- Parent organization
- TRINITY REHAB SOMERSET PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Gavrielides
- Title
- Office Manger
- Phone
- (732) 219-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
200 W Ridge Pike
Conshohocken, PA 19428-3702
Mailing address
554 Highway 35
Red Bank, NJ 07701-5066
Phone (173) 221-9570
Other names 1
- Trinity Rehab Conshohocken PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Newtown Square, PA
- NPI 1114599834
O20210412002013
-
- Physical Therapy Clinic/Center
- North Wales, PA
- NPI 1144892852
O20210412002013
-
- Physical Therapy Clinic/Center
- Doylestown, PA
- NPI 1174126387
O20210412002013
-
- Physical Therapy Clinic/Center
- Glen Mills, PA
- NPI 1952973679
O20210412002013
National Provider Directory
National Provider Directory- Part of
- Trinity Rehab Somerset PA
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physical Therapist
- Warrington, PA
- NPI 1629820451
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1932750031
-
- Physical Therapist
- Somerset, NJ
- NPI 1558712695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615766400000",
"number": "1063097640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 HIGHWAY 35",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015066",
"telephone_number": "173-221-9570",
"fax_number": "732-334-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W RIDGE PIKE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194283702",
"telephone_number": "173-221-9570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY REHAB SOMERSET PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRINITY REHAB SOMERSET PA",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A",
"authorized_official_last_name": "GAVRIELIDES",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "OFFICE MANGER",
"authorized_official_telephone_number": "732-219-5700"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Rehab Conshohocken PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.