NPIMap

Organization Active NPI

Physis Physical Therapy of New Jersey Inc

  • Physical Therapist
  • Basking Ridge, NJ
National Provider Identifier
1346078516
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIS PHYSICAL THERAPY OF NEW JERSEY INC
Practice address
665 Martinsville Rd Ste 219
Basking Ridge, NJ 07920-4700
Phone
(908) 745-1025
NPI assigned
Jul 22, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Priyanka Dave, PT, DPT, OCSNPI 1679978845
Title
Manager
Phone
(908) 745-1029

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

665 Martinsville Rd Ste 219
Basking Ridge, NJ 07920-4700

Mailing address

5 Houston St
Metuchen, NJ 08840-1718
Phone (908) 745-1029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821002448 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911445960 Receives reassigned benefits from 2 practitioners
Practice locations: Basking Ridge, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1346078516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOUSTON ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401718",
            "telephone_number": "908-745-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 MARTINSVILLE RD STE 219",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079204700",
            "telephone_number": "908-745-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIS PHYSICAL THERAPY OF NEW JERSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-745-1029",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.