Individual provider Active NPI

Banumathi Visweswaran, PT

  • Physical Therapist
  • Princeton, NJ
National Provider Identifier
1457756660
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01546100 Issued in NJ
Practice address
8 Forrestal Rd S Ste 104
Princeton, NJ 08540-6658
Phone
(609) 750-1600
NPI assigned
Oct 30, 2014
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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
Physical Therapist 225100000X 40QA01546100 NJ Primary

Addresses

Primary practice location

8 Forrestal Rd S Ste 104
Princeton, NJ 08540-6658

Mailing address

10 Comstock Lane
Skillman, NJ 08558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811000257 NJ Practitioner - Physical Therapist in Private Practice 1254793011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Bone and Joint LLCGroup PAC ID 4981881620, 5 clinicians

Practice addresses (Care Compare)

8 Forrestal Rd S
Suite 104
Princeton, NJ 08540-6666
Phone (609) 750-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Bone and Joint, LLC CurrentSince Jul 6, 2023 Accepting new patients

Locations

8 Forrestal Rd S
Ste 104
Princeton, NJ 08540
Phone (609) 750-1600

Organizations & group practices 1

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1457756660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMSTOCK LANE",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "08558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FORRESTAL RD S STE 104",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406658",
            "telephone_number": "609-750-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWESWARAN",
        "first_name": "BANUMATHI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01546100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.