Individual provider Active NPI

Rashmi Chavan, PHYSICAL THERAPIST

  • Physical Therapist
  • Bridgewater, NJ
National Provider Identifier
1528182011
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00981100 Issued in NJ
Practice address
478 State Route 28
Bridgewater, NJ 08807-2452
Phone
(908) 323-5753
Fax
(908) 300-3741
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 40QA98100 NJ
Physical Therapist 225100000X 40QA00981100 NJ Primary

Addresses

Primary practice location

478 State Route 28
Bridgewater, NJ 08807-2452

Mailing address

478 State Route 28
Bridgewater, NJ 08807-2452
Phone (908) 323-5753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000019 NJ Practitioner - Physical Therapist in Private Practice 1456249945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Hands Physical Therapy LLCGroup PAC ID 2668729310, 2 clinicians

Practice addresses (Care Compare)

478 Route 28
Bridgewater, NJ 08807-2452
Phone (908) 323-5753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00981100NJMDPhysical Therapist
40QA98100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J Holton DC LLC CurrentSince Jun 22, 2016 Accepting new patients
Good Hands Physical Therapy LLC Physical Therapist CurrentSince Feb 16, 2018 Accepting new patients
Schick Chiropractic Center, LLC Physical Therapist CurrentSince Mar 20, 2017 Accepting new patients
Park Physical Therapy Associates,Inc. Physical Therapist PastSince Oct 9, 2008 Accepting new patients
Manalapan Spine Care and Rehabilitation Physical Therapist PastSince Aug 4, 2008 Accepting new patients
Jeb Rehabilitation PC Past Accepting new patients

Locations

478 State Route 28
Bridgewater, NJ 08807
Phone (908) 323-5753

245 US Highway 22
Ste 106
Bridgewater, NJ 08807
Phone (908) 323-5753

317 Cleveland Ave
Highland Park, NJ 08904
Phone (732) 249-9800

289 Central Ave
Metuchen, NJ 08840
Phone (732) 549-0141

Organizations & group practices 6

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1528182011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 STATE ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072452",
            "telephone_number": "908-323-5753",
            "fax_number": "908-300-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 STATE ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072452",
            "telephone_number": "908-323-5753",
            "fax_number": "908-300-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVAN",
        "first_name": "RASHMI",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA98100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00981100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.