Kanwal Keshav Bhardwaj, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012362 Issued in MI

Practice address

70 Schanck Rd Unit East
Freehold, NJ 07728-5309

Phone

(203) 927-6962

NPI assigned

Aug 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stride Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Freehold, NJ
  • NPI 1023639069
  Medicare reassignment NPD Authorized official
• Asap Physical Therapy

  • Physical Therapy Clinic/Center
  • Trenton, NJ
  • NPI 1033495957
  NPD (past)
• Hanneken Physical Therapy LLC

  • Physical Therapist
  • Holland, MI
  • NPI 1528080629
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1407047046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LOUISE LN",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088314455",
            "telephone_number": "203-927-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SCHANCK RD UNIT EAST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285309",
            "telephone_number": "203-927-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Hoover Blvd",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494233719",
            "country_code": "US",
            "telephone_number": "616-392-2172",
            "fax_number": "616-392-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "KANWAL",
        "middle_name": "KESHAV",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012362",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Bernaz, MSW, LCSW, LCADC
• Amy Bernstein, MA CCC SLP
• Alfred Edward Berry, D.M.D.
• Jessica Betar, LPC, LCADC
• Better Transitions LLC
• Atul Bhasin, MD
• Vatsala R Bhaskar, M.D., F.A.A.P.
• Ashish K Bhattacharya, MD
• Claudia Bianchine
• Biochem Medical Diagnostic Labs

• Physical Therapist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physical Therapist in New Jersey

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