Individual provider Active NPI

Patrick Salazar Trinidad, PT, DPT

  • Physical Therapist
  • Somerville, NJ
National Provider Identifier
1487220794
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02007700 Issued in NJ
Practice address
125 W Main St
Somerville, NJ 08876-2220
Phone
(908) 458-7719
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02007700 NJ Primary

Addresses

Primary practice location

125 W Main St
Somerville, NJ 08876-2220

Mailing address

125 W Main St Apt 312
Somerville, NJ 08876-2244
Phone (908) 458-7719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608000058 NJ Practitioner - Physical Therapist in Private Practice 3971903345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progression Physical Therapy of PrincetonGroup PAC ID 3577752682, 5 clinicians

Practice addresses (Care Compare)

601 Ewing St
Suite B9
Princeton, NJ 08540-2755
Phone (609) 454-3536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progression Physical Therapy of Princeton CurrentSince Aug 18, 2022 Accepting new patients
Trinidad Physical Therapy Physical Therapist CurrentSince Aug 15, 2021 Accepting new patients

Locations

601 Ewing St
Ste B9
Princeton, NJ 08540
Phone (609) 454-3536

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1487220794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MAIN ST APT 312",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762244",
            "telephone_number": "908-458-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762220",
            "telephone_number": "908-458-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINIDAD",
        "first_name": "PATRICK",
        "middle_name": "SALAZAR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02007700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.