NPIMap

Organization Active NPI

Trinity Rehab Somerset PA

Doing business as Trinity Rehab North Wales PA

  • Physical Therapy Clinic/Center
  • North Wales, PA
National Provider Identifier
1144892852
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRINITY REHAB SOMERSET PA
Doing business as
Trinity Rehab North Wales PA
Practice address
1460 Bethlehem Pike Unit 2
North Wales, PA 19454-2159
Phone
(732) 219-5700
Fax
(732) 334-3004
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY REHAB SOMERSET PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Tonya Gavrielides
Title
Ao
Phone
(732) 219-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1460 Bethlehem Pike Unit 2
North Wales, PA 19454-2159

Mailing address

554 Highway 35
Red Bank, NJ 07701-5066
Phone (732) 219-5700

Other identifiers 1

IdentifierTypeStateIssuer
1245789064OtherNJBCBS

Other names 1

  • Trinity Rehab North Wales PA Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Address Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210412002013 PA Part B Supplier - Clinic/Group Practice 0547540809 Receives reassigned benefits from 23 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newtown Square, PA; Wayne, PA; North Wales, PA; Newtown, PA; Glen Mills, PA; Dresher, PA; Doylestown, PA; Conshohocken, PA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Trinity Rehab Somerset PA

Locations (25 of 26)

486 Brick Blvd
Brick, NJ 08723
Phone (732) 206-6960

430 US Highway 206 S
Spc A114
Chester, NJ 07930

301 Central Ave
Ste 1
Clark, NJ 07066

276 US Highway 202/31 N
Flemington, NJ 08822
Phone (908) 751-7330

380 W Pleasantview Ave
Bldg A
Hackensack, NJ 07601

2380 Route 9
Howell, NJ 07731
Phone (732) 901-8844

3600 US Highway 9
Howell, NJ 07731
Phone (732) 901-8844

449 W Mount Pleasant Ave
Livingston, NJ 07039
Phone (973) 994-4300

701 Route 73 N
Bldg 751
Marlton, NJ 08053
Phone (856) 396-8900

170 E Hanover Ave
Morristown, NJ 07960

305 N Route 17
Ste 102
Paramus, NJ 07652

131 New Rd
Ste 3
Parsippany, NJ 07054
Phone (732) 219-4700

1354 Centennial Ave
Unit A3B
Piscataway, NJ 08854

1396 Centennial Ave
Unit Ab
Piscataway, NJ 08854

137 Interstate Shop Ctr
Ste 15A
Ramsey, NJ 07446

415 Egg Harbor Rd
Ste 14
Sewell, NJ 08080
Phone (856) 589-2929

734 Morris Tpke
Short Hills, NJ 07078
Phone (973) 707-3755

1130 Broad St
Trinity Rehab Shrewsbury
Shrewsbury, NJ 07702

1933 State Route 35
Ste 123
Wall Township, NJ 07719

9 Mount Bethel Rd
Unit 203A
Warren, NJ 07059

401 Lacey Rd
Ste C
Whiting, NJ 08759
Phone (732) 716-7477

500 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677

2011 Welsh Rd
Uppr
Dresher, PA 19025

2826 S Eagle Rd
#121
Newtown, PA 18940

3741 West Chester Pike
Ste 104
Newtown Square, PA 19073

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.

Practitioners & affiliated clinicians

Practitioners 154

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 154

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1144892852",
    "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": "732-219-5700",
            "fax_number": "732-219-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BETHLEHEM PIKE UNIT 2",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542159",
            "telephone_number": "732-219-5700",
            "fax_number": "732-334-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY REHAB SOMERSET PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY REHAB SOMERSET PA",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "GAVRIELIDES",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "732-219-5700"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1245789064",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Address",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Address",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address",
            "address_1": "1460 Bethlehem Pike Unit 2",
            "city": "North Wales",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194542159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Rehab North Wales PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.