Organization Active NPI

Rajni Patel Physical Therapy LLC

  • Neurology Physical Therapist
  • Cedar Knolls, NJ
National Provider Identifier
1104595750
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
Legal business name
RAJNI PATEL PHYSICAL THERAPY LLC
Practice address
604 Patriot LN
Cedar Knolls, NJ 07927-1624
Phone
(862) 221-7645
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Rajni Patel, DPTNPI 1245655901
Title
PT
Phone
(862) 221-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251N0400X Primary

Addresses

Primary practice location

604 Patriot LN
Cedar Knolls, NJ 07927-1624

Mailing address

604 Patriot LN
Cedar Knolls, NJ 07927-1624
Phone (862) 221-7645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220111002314 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981096500 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Knolls, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1104595750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 PATRIOT LN",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271624",
            "telephone_number": "862-221-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 PATRIOT LN",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271624",
            "telephone_number": "862-221-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJNI PATEL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJNI",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "862-221-7645",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

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

Verify at the official NPI Registry.