Individual provider Active NPI

Chetna K Bhayani, PT

  • Physical Therapist
  • Hillsborough, NJ
National Provider Identifier
1073383410
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02217200 Issued in NJ
Practice address
411 Route 206 Ste 16
Hillsborough, NJ 08844-5024
Phone
(908) 874-4522
Fax
(908) 874-4531
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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 40QA02217200 NJ Primary

Addresses

Primary practice location

411 Route 206 Ste 16
Hillsborough, NJ 08844-5024

Mailing address

411 Route 206 Ste 16
Hillsborough, NJ 08844-5024
Phone (908) 874-4522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131001170 NJ Practitioner - Physical Therapist in Private Practice 3375996986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Formation Physical Therapy CurrentSince Jan 9, 2024 Accepting new patients

Locations

411 US Highway 206
Ste 16
Hillsborough, NJ 08844
Phone (908) 794-5029

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1073383410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ROUTE 206 STE 16",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445024",
            "telephone_number": "908-874-4522",
            "fax_number": "908-874-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ROUTE 206 STE 16",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445024",
            "telephone_number": "908-874-4522",
            "fax_number": "908-874-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAYANI",
        "first_name": "CHETNA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02217200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.

Verify at the official NPI Registry.