Active NPI
Trinity Physical Therapy and Rehab Center PC
- Physical Therapist
- Bayonne, NJ
National Provider Identifier
1205509965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- TRINITY PHYSICAL THERAPY AND REHAB CENTER PC
- Practice address
- 305 Bayonne Crossing Way Ste 101
Bayonne, NJ 07002-5304 - Phone
- (201) 778-2020
- NPI assigned
- Jul 28, 2021
- Last updated
- Jul 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Engy Keriacos
- Title
- Office Administrator
- Phone
- (201) 778-2020
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Geriatric Physical Therapist | 2251G0304X | |||
| Sports Physical Therapist | 2251S0007X |
Addresses
Primary practice location
305 Bayonne Crossing Way Ste 101
Bayonne, NJ 07002-5304
Mailing address
305 Bayonne Crossing Way Ste 101
Bayonne, NJ 07002-5304
Phone (201) 778-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
305 Bayonne Crossing Way
Ste 101
Bayonne, NJ 07002
Phone (201) 778-2020
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Edison, NJ
- NPI 1144854001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1205509965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 BAYONNE CROSSING WAY STE 101",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070025304",
"telephone_number": "201-778-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BAYONNE CROSSING WAY STE 101",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070025304",
"telephone_number": "201-778-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY PHYSICAL THERAPY AND REHAB CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "KERIACOS",
"authorized_official_first_name": "ENGY",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "201-778-2020"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
- Ester Trinidad, HAIR PLACEMENT
- Trinitas Regional Medical Center (Bayonne CMHC-Partial Care)
- Trinitas Regional Medical Center (Bayonne CMHC-Addictions)
- Trinitas Regional Medical Center (Bayonne CMHC Work First)
- Trinitas Regional Medical Center (Bayonne Community Mental Health Center, a Service of Trinitas Regional)
- True Medical LLC
- Keyleen Ubiera, BSN, RN
- Ucare Plus Family and Urgent Care LLC
- Bryant Ukaigwe, DMD
- Ultra Care Pharmacy LLC (Ultra Care Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.