Individual provider Active NPI

Rupa Patel, DPT

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1285992131
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01439600 Issued in NJ
Practice address
3830 Park Ave
Suite 208
Edison, NJ 08820-2562
Phone
(732) 494-0895
Fax
(732) 494-0896
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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 40QA01439600 NJ Primary

Addresses

Primary practice location

3830 Park Ave
Suite 208
Edison, NJ 08820-2562

Mailing address

3830 Park Ave
Suite 208
Edison, NJ 08820-2562
Phone (732) 494-0895

Other identifiers 1

IdentifierTypeStateIssuer
40QA01439600OtherNJNEW JERSEY BOARD LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130219000440 NJ Practitioner - Physical Therapist in Private Practice 5496900631 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverwalk Physical Therapy, LLCGroup PAC ID 1557545308, 9 clinicians
Innovative Physical Therapy and Fitness Center IncGroup PAC ID 1456504331, 14 clinicians
Riverwalk Physical Therapy Bernardsville LLCGroup PAC ID 4587012182, 5 clinicians

Practice addresses (Care Compare)

25 Mountain Blvd
Basking Ridge, NJ 07920-3453
Phone (908) 758-1006

301 N Harrison St
Suite 200
Princeton, NJ 08540-3527
Phone (732) 853-8177

3562 Route 27
Suite 124
Kendall Park, NJ 08824-1062
Phone (732) 317-4105

3562 RT
27 Suite 124
Kendall Park, NJ 08824-1062

4 Essex Ave
Suite 104
Bernardsville, NJ 07924-2265
Phone (917) 757-9772

458 Voorhees Ave
Middlesex, NJ 08846-2447
Phone (302) 381-7003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01439600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Movement Physical Therapy & Wellness Physical Therapist CurrentSince Jul 9, 2023 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Jul 13, 2023 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Jul 13, 2023 Accepting new patients
Riverwalk Physical Therapy, LLC Physical Therapist CurrentSince Jan 15, 2026 Accepting new patients
Riverwalk Physical Therapy Bernardsville LLC Physical Therapist CurrentSince Jan 15, 2026 Accepting new patients

Locations

25 Mountainview Blvd
Ste 207
Basking Ridge, NJ 07920
Phone (908) 758-1006

4 Essex Ave
Ste 104
Bernardsville, NJ 07924
Phone (917) 757-9772

3562 State Route 27
Ste 124
Kendall Park, NJ 08824
Phone (732) 317-4105

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1285992131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PARK AVE",
            "address_2": "SUITE 208",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202562",
            "telephone_number": "732-494-0895",
            "fax_number": "732-494-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PARK AVE",
            "address_2": "SUITE 208",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202562",
            "telephone_number": "732-494-0895",
            "fax_number": "732-494-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUPA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01439600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY BOARD LICENSE",
            "identifier": "40QA01439600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.