Organization Active NPI

Trinity Rehab LLC

  • Physical Therapist
  • Matawan, NJ
National Provider Identifier
1093741258
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00933600 Issued in NJ
Legal business name
TRINITY REHAB LLC
Practice address
1016 State Route 34
Pinecrest Plaza
Matawan, NJ 07747-3476
Phone
(732) 583-0085
Fax
(732) 583-0089
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Patty Fabozzi
Title
Manager
Phone
(732) 219-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00933600 NJ Primary

Addresses

Primary practice location

1016 State Route 34
Pinecrest Plaza
Matawan, NJ 07747-3476

Mailing address

1016 State Route 34
Pinecrest Plaza
Matawan, NJ 07747-3476
Phone (732) 583-0085

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1093741258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 STATE ROUTE 34",
            "address_2": "PINECREST PLAZA",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473476",
            "telephone_number": "732-583-0085",
            "fax_number": "732-583-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 STATE ROUTE 34",
            "address_2": "PINECREST PLAZA",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473476",
            "telephone_number": "732-583-0085",
            "fax_number": "732-583-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "FABOZZI",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-219-5700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00933600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.