Individual provider Active NPI

Pooja Raval, DPT

  • Physical Therapist
  • Hillsborough, NJ
National Provider Identifier
1114701174
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QB003650500 Issued in NJ
Practice address
668 US Highway 206 Ste E
Hillsborough, NJ 08844-1511
Phone
(908) 262-7719
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 40QB003650500 NJ Primary

Addresses

Primary practice location

668 US Highway 206 Ste E
Hillsborough, NJ 08844-1511

Mailing address

668 US Highway 206 Ste E
Hillsborough, NJ 08844-1511
Phone (908) 262-7719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918002303 NJ Practitioner - Physical Therapist in Private Practice 4587028998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

668 US Hwy 206
Suite E
Hillsborough, NJ 08844-1511
Phone (908) 262-7719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QB003650500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Therapy & Rehab Physical Therapist CurrentSince Jan 26, 2025 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients

Locations

1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882

Organizations & group practices 3

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1114701174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 US HIGHWAY 206 STE E",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441511",
            "telephone_number": "908-262-7719",
            "fax_number": "732-970-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 US HIGHWAY 206 STE E",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441511",
            "telephone_number": "908-262-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "POOJA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QB003650500",
            "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 Feb 25, 2025; 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.