Individual provider Active NPI

Avanthi Avadhanam

  • Physical Therapist
  • Hamilton, NJ
National Provider Identifier
1447668561
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01469200 Issued in NJ
Practice address
2277 NJ 33
Hamilton, NJ 08690
Phone
(609) 838-7284
NPI assigned
Aug 1, 2014
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034105 NY
Physical Therapist 225100000X 40QA01469200 NJ Primary

Addresses

Primary practice location

2277 NJ 33
Hamilton, NJ 08690

Mailing address

11 Hawthorn Dr
Plainsboro, NJ 08536-1932
Phone (609) 955-2240

Other practice location 1

292 Applegarth Rd
Monroe Township, NJ 08831-3754
Phone (609) 860-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221000558 NJ Practitioner - Physical Therapist in Private Practice 3072814821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1450 Parkside Ave
Suite 4
Ewing, NJ 08638-2948
Phone (609) 955-2240

51 Veronica Ave
Somerset, NJ 08873-3448
Phone (732) 846-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034105NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Vascular Center of New Brunswick LLC CurrentSince Sep 5, 2023 Accepting new patients
Heart & Vascular Center of New Brunswick LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Care Rehab LLC Physical Therapist CurrentSince Feb 19, 2021 Accepting new patients
Connections Home Care LLC PastSince Nov 29, 2020 Accepting new patients

Locations

1450 Parkside Ave
Ste 4
Ewing, NJ 08638
Phone (609) 789-0777

1543 State Route 27
Ste 14
Somerset, NJ 08873

51 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-1311

Organizations & group practices 4

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1447668561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAWTHORN DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361932",
            "telephone_number": "609-955-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 NJ 33",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-838-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Applegarth Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe Township",
            "state": "NJ",
            "postal_code": "088313754",
            "country_code": "US",
            "telephone_number": "609-860-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVADHANAM",
        "first_name": "AVANTHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034105",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01469200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.