Individual provider Active NPI

Kavita Mistry

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1538618004
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01683300 Issued in NJ
Practice address
11 Hedgerow LN
Manalapan, NJ 07726-7905
Phone
(347) 462-4876
Fax
(347) 435-2111
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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 40QA01683300 NJ Primary

Addresses

Primary practice location

11 Hedgerow LN
Manalapan, NJ 07726-7905

Mailing address

123 Beacon Ave
1 Apt
Jersey City, NJ 07306-2517
Phone (347) 462-4876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122002118 NJ Practitioner - Physical Therapist in Private Practice 9739468398 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holsman Physical Therapy and Wellness PCGroup PAC ID 2062666910, 24 clinicians

Practice addresses (Care Compare)

408 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 433-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical and Occupational Therapy, PC CurrentSince Jun 28, 2021 Accepting new patients
Home Therapy, LLC CurrentSince Jun 28, 2021 Accepting new patients
Holsman Physical Therapy and Rehabilitation PC Physical Therapist CurrentSince Jun 28, 2021 Accepting new patients
Holsman Physical Therapy and Wellness PC CurrentSince Jun 28, 2021 Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Jun 28, 2021 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 5

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1538618004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BEACON AVE",
            "address_2": "1 APT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062517",
            "telephone_number": "347-462-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HEDGEROW LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267905",
            "telephone_number": "347-462-4876",
            "fax_number": "347-435-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "KAVITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01683300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.