Active NPI
Prime Care Physical Therapy LLC
- Physical Therapy Clinic/Center
- Old Bridge, NJ
National Provider Identifier
1487263109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PRIME CARE PHYSICAL THERAPY LLC
- Practice address
- 109 White Oak LN Ste 54
Old Bridge, NJ 08857-1981 - Phone
- (732) 679-7878
- Fax
- (732) 679-4332
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neetaben M Khunt
- Title
- Physical Therapist
- Phone
- (708) 663-9200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
109 White Oak LN Ste 54
Old Bridge, NJ 08857-1981
Mailing address
109 White Oak LN Ste 54
Old Bridge, NJ 08857-1981
Phone (732) 679-7878
Other names 1
- Old Bridge Physical Therapy Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
105 White Oak Ln
Ste 103
Old Bridge, NJ 08857
Phone (708) 663-9200
109 White Oak Ln
Ste 54
Old Bridge, NJ 08857
Phone (708) 663-9200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Parsippany, NJ
- NPI 1023407731
-
- Physical Therapist
- Edison, NJ
- NPI 1669981643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1487263109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 WHITE OAK LN STE 54",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571981",
"telephone_number": "732-679-7878",
"fax_number": "732-679-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 WHITE OAK LN STE 54",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088571981",
"telephone_number": "732-679-7878",
"fax_number": "732-679-4332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CARE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "KHUNT",
"authorized_official_first_name": "NEETABEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "708-663-9200"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Old Bridge Physical Therapy Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Old Bridge Physical Therapy Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.