Tri State Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00994900 Issued in NJ

Legal business name

TRI STATE PHYSICAL THERAPY

Practice address

17 Elm Avenue
Hackensack, NJ 07661

Phone

(973) 633-6600

Fax

(973) 633-1100

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Peter Hastings, PTNPI 1316055056

Title

Owner/Physical Therapist

Phone

(973) 633-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Hastings, PT

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1316055056
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1477801892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ELM AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "973-633-6600",
            "fax_number": "973-633-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ELM AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07661",
            "telephone_number": "973-633-6600",
            "fax_number": "973-633-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Route 23",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074705823",
            "country_code": "US",
            "telephone_number": "973-633-6600",
            "fax_number": "973-633-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI STATE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-633-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00994900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travelcare, P.a.
• Treat Me Right Consulting Services LLC
• Julianna Treene
• Fabien P Tremeau, MD
• Nathaniel Tremonti
• Tri-County Audiology Services, PC
• Trinity Rehab Somerset PA
• Vidushi Tripathi, MD
• Tristate Multispecialty Medical Services PC
• Rupal Trivedi, APN

• Physical Therapist in Hackensack, NJ
• Providers in Hackensack, 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 Aug 7, 2026; 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.