NPIMap

Organization Active NPI

Trinity Rehab Somerset PA

Doing business as Trinity Rehab Doylestown

  • Physical Therapy Clinic/Center
  • Doylestown, PA
National Provider Identifier
1174126387
Registry record updated Nov 19, 2020
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 Doylestown
Practice address
430 North Main Street
Store 14
Doylestown, PA 18901
Phone
(732) 219-5700
Fax
(732) 334-3004
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY REHAB SOMERSET PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Tonya Gavrielides
Title
Office Manager
Phone
(732) 219-5700

Specialties & licenses 1

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

Addresses

Primary practice location

430 North Main Street
Store 14
Doylestown, PA 18901

Mailing address

554 Highway 35
Red Bank, NJ 07701-5066
Phone (173) 221-9570

Other identifiers 1

IdentifierTypeStateIssuer
1245789064OtherNJBCBS

Other names 1

  • Trinity Rehab Doylestown 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

430 N Main St
#14
Doylestown, PA 18901

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1174126387",
    "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": "173-221-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NORTH MAIN STREET",
            "address_2": "STORE 14",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "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": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "GAVRIELIDES",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-219-5700"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "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": "430 N Main St Store #14",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Rehab Doylestown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.