Individual provider Active NPI

Khushboo Bhagat, PT

  • Physical Therapist
  • Bayonne, NJ
National Provider Identifier
1386104008
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01849800 Issued in NJ
Practice address
11 W 25TH St
Bayonne, NJ 07002-3800
Phone
(201) 243-9291
Fax
(201) 243-9923
NPI assigned
Mar 20, 2019
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 40QA01849800 NJ Primary

Addresses

Primary practice location

11 W 25TH St
Bayonne, NJ 07002-3800

Mailing address

11 W 25TH St
Bayonne, NJ 07002-3800
Phone (201) 243-9291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425002653 NJ Practitioner - Physical Therapist in Private Practice 7214279074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Walk LLCGroup PAC ID 7517267032, 2 clinicians

Practice addresses (Care Compare)

508 Main St
Suite 105
Spotswood, NJ 08884-1703
Phone (732) 734-3600

515 Lincoln Hwy
Iselin, NJ 08830-1766
Phone (732) 242-2312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01849800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Healthy Walk LLC Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients
Velocity Physical Therapy Services LLC Physical Therapist Current Accepting new patients

Locations

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

515 State Route 27
Iselin, NJ 08830
Phone (732) 242-2312

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1386104008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 25TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023800",
            "telephone_number": "201-243-9291",
            "fax_number": "201-243-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 25TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023800",
            "telephone_number": "201-243-9291",
            "fax_number": "201-243-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGAT",
        "first_name": "KHUSHBOO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01849800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.