Individual provider Active NPI

Kanika Jethani, DPT

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1396465761
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02119200 Issued in NJ
Practice address
465 Cranbury Rd Ste 103
East Brunswick, NJ 08816-7600
Phone
(732) 254-7085
NPI assigned
Aug 29, 2022
Last updated
May 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP055785T VT
Physical Therapist 225100000X CP056667T DC
Physical Therapist 225100000X 40QA02119200 NJ Primary

Addresses

Primary practice location

465 Cranbury Rd Ste 103
East Brunswick, NJ 08816-7600

Mailing address

44 Wetherhill Way
Dayton, NJ 08810-1608
Phone (908) 705-0156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221005000090 NJ Practitioner - Physical Therapist in Private Practice 0648656298 Reassigns benefits to 5 organizations
I20260624000982 DC Practitioner - Physical Therapist in Private Practice 0648656298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Medical Group of SomersetGroup PAC ID 0941612360, 23 clinicians

Practice addresses (Care Compare)

1011 US Hwy 22
Suite 203
Bridgewater, NJ 08807-2979

3150 US Hwy 22
Branchburg, NJ 08876-3595
Phone (908) 746-2424

454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone 9087562424135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP056667TDCMDPhysical Therapist
40QA02119200NJMDPhysical Therapist
CP055785TVTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Aug 29, 2022 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Jan 2, 2023 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Jun 3, 2024 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Jun 3, 2024 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Jun 3, 2024 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Jan 2, 2023 Accepting new patients
Performance Medical Group of Somerset CurrentSince Jun 3, 2024 Accepting new patients

Locations

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 2023
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

465 Cranbury Rd
Ste 103
East Brunswick, NJ 08816
Phone (732) 254-7085

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

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 860-5757

175 Route 37 W
#R
Toms River, NJ 08755

10 Johnston Dr
Watchung, NJ 07069

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

Organizations & group practices 10

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1396465761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WETHERHILL WAY",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101608",
            "telephone_number": "908-705-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CRANBURY RD STE 103",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088167600",
            "telephone_number": "732-254-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETHANI",
        "first_name": "KANIKA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "CP055785T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "CP056667T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02119200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; 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.