Organization Active NPI

Union Physical Therapy & Rehabilitation Center, Inc

  • Physical Therapist
  • West Orange, NJ
National Provider Identifier
1326092388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA 08470 Issued in NJ
Legal business name
UNION PHYSICAL THERAPY & REHABILITATION CENTER, INC
Practice address
81 Northfield Ave
Suite 205
West Orange, NJ 07052-5338
Phone
(973) 325-9285
Fax
(973) 325-9295
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Bhargavi Amish Desai, R.P.TNPI 1659331411
Title
P.T Director
Phone
(973) 325-9285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X QA 08470 NJ Primary

Addresses

Primary practice location

81 Northfield Ave
Suite 205
West Orange, NJ 07052-5338

Mailing address

81 Northfield Ave
Suite 205
West Orange, NJ 07052-5338
Phone (973) 325-9285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706000959 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365429552 Receives reassigned benefits from 1 practitioner
Practice locations: New Providence, NJ; West Orange, NJ

National Provider Directory

National Provider Directory
Tax ID family
Union Physical Therapy and Rehab Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

180 South St
Ste 102
New Providnce, NJ 07974
Phone (908) 286-1515

81 Northfield Ave
Ste 205
West Orange, NJ 07052
Phone (973) 325-9285

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326092388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "address_2": "SUITE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525338",
            "telephone_number": "973-325-9285",
            "fax_number": "973-325-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "address_2": "SUITE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525338",
            "telephone_number": "973-325-9285",
            "fax_number": "973-325-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PHYSICAL THERAPY & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "BHARGAVI",
        "authorized_official_middle_name": "AMISH",
        "authorized_official_title_or_position": "P.T DIRECTOR",
        "authorized_official_telephone_number": "973-325-9285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA 08470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.