Individual provider Active NPI

Anisha Jain

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1285950519
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01836400 Issued in NJ
Practice address
34 Gladstone Dr
East Brunswick, NJ 08816-3931
Phone
(713) 689-4784
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031372 NY
Physical Therapist 225100000X 40QA01836400 NJ Primary

Addresses

Primary practice location

34 Gladstone Dr
East Brunswick, NJ 08816-3931

Mailing address

34 Gladstone Dr
East Brunswick, NJ 08816-3931
Phone (713) 689-4784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110516000074 NY Practitioner - Physical Therapist in Private Practice 2961688601 Reassigns benefits to 1 organization
I20211014000175 NJ Practitioner - Physical Therapist in Private Practice 2961688601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Gladstone Dr
East Brunswick, NJ 08816-3931
Phone (713) 689-4784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01836400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Befitcloud LLC Physical Therapist CurrentSince Mar 16, 2022 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jul 6, 2021 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Jul 6, 2021 Accepting new patients
Vivian Nussbaum & Linda Oberon PTRS Physical Therapist PastSince Sep 1, 2012 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

10 Woodbridge Center Dr
Ste 102
Woodbridge, NJ 07095
Phone (732) 588-6935

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

Organizations & group practices 5

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1285950519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GLADSTONE DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163931",
            "telephone_number": "713-689-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GLADSTONE DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163931",
            "telephone_number": "713-689-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031372",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01836400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.