Organization Active NPI

Trinity Physical Therapy LLC

  • Physical Therapist
  • Somerset, NJ
National Provider Identifier
1427207752
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00599300 Issued in NJ
Legal business name
TRINITY PHYSICAL THERAPY LLC
Practice address
20 Fulton Rd
Somerset, NJ 08873-2326
Phone
(732) 246-2536
Fax
(732) 246-0428
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Dr. Abimbola O Fadahunsi, P TNPI 1811105661
Title
Owner/Director
Phone
(908) 295-9093

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 40QA00599300 NJ Primary

Addresses

Primary practice location

20 Fulton Rd
Somerset, NJ 08873-2326

Mailing address

20 Fulton Rd
Somerset, NJ 08873-2326
Phone (732) 246-2536

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824000843 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628042702 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

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": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1427207752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FULTON RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732326",
            "telephone_number": "732-246-2536",
            "fax_number": "732-246-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FULTON RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732326",
            "telephone_number": "732-246-2536",
            "fax_number": "732-246-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "FADAHUNSI",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "908-295-9093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00599300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.