Active NPI
Nidhi Trehan
- Physical Therapist
- Woburn, MA
National Provider Identifier
1538548797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21628
- Practice address
- 400 Tradecenter
4890
Woburn, MA 01801-7452 - Phone
- (781) 937-9777
- NPI assigned
- May 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21628 | MA | Primary |
| Neurology Physical Therapist | 2251N0400X | 2020023533 | MO |
Addresses
Primary practice location
400 Tradecenter
4890
Woburn, MA 01801-7452
Mailing address
1096 Bristol Manor Dr
Ballwin, MO 63011-5107
Phone (516) 713-5411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21628 | MA | MD | Physical Therapist |
| 2020023533 | MO | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Therapy Center-Alpharetta, LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Roswell, GA
- NPI 1447283635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1538548797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1096 BRISTOL MANOR DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630115107",
"telephone_number": "516-713-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TRADECENTER",
"address_2": "4890",
"city": "WOBURN",
"state": "MA",
"postal_code": "018017452",
"telephone_number": "781-937-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREHAN",
"first_name": "NIDHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-21",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21628",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "MO",
"license": "2020023533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.