Individual provider Active NPI

Khushali Trivedi, PT

  • Physical Therapist
  • Newark, NJ
National Provider Identifier
1316582000
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01893400 Issued in NJ
Practice address
902 N 5TH St Ste C104
Newark, NJ 07107-4804
Phone
(973) 910-2300
Fax
(973) 910-2300
NPI assigned
Nov 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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 40QA01893400 NJ Primary

Addresses

Primary practice location

902 N 5TH St Ste C104
Newark, NJ 07107-4804

Mailing address

710 Mill St Unit H3
Belleville, NJ 07109-5306
Phone (973) 759-1494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200113001916 NJ Practitioner - Physical Therapist in Private Practice 5294160602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Budd Lake, NJ 07828
Phone (201) 575-7467

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Metro Physical Therapy LLC Physical Therapist CurrentSince Oct 11, 2025 Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Nov 18, 2019 Accepting new patients
Holsman Physical Therapy and Wellness PC CurrentSince Nov 24, 2019 Accepting new patients
Vedikh Dynamic Rehab LLC Physical Therapist CurrentSince Sep 6, 2025 Accepting new patients
Holsman Physical Therapy and Wellness PC Physical Therapist PastSince Nov 18, 2019 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

902 N 5th St
Ste C104
Newark, NJ 07107
Phone (973) 910-2300

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 6

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": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1316582000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095306",
            "telephone_number": "973-759-1494",
            "fax_number": "973-759-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 5TH ST STE C104",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071074804",
            "telephone_number": "973-910-2300",
            "fax_number": "973-910-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "KHUSHALI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01893400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.