Individual provider Active NPI

Ina Patricia Rivera Perez, DPT

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1548045149
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02206600 Issued in NJ
Practice address
465 Cranbury Rd Ste 103
East Brunswick, NJ 08816-7600
Phone
(732) 254-7085
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 40QA02206600 NJ Primary

Addresses

Primary practice location

465 Cranbury Rd Ste 103
East Brunswick, NJ 08816-7600

Mailing address

41 Wendover Rd
East Windsor, NJ 08520-2838
Phone (609) 627-9515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000495 NJ Practitioner - Physical Therapist in Private Practice 3173979309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians

Practice addresses (Care Compare)

465 Cranbury Rd
Suite 103
East Brunswick, NJ 08816-7600
Phone (800) 518-0977

84 Veronica Ave
Suite And1016
Somerset, NJ 08873-3529
Phone (800) 518-0977

89 Route 206
Somerville, NJ 08876-4102
Phone (800) 518-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02206600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Trinity Rehab Somerset PA CurrentSince Aug 31, 2023 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Aug 31, 2023 Accepting new patients

Locations

465 Cranbury Rd
Ste 103
East Brunswick, NJ 08816
Phone (732) 254-7085

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

Organizations & group practices 3

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1548045149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WENDOVER RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202838",
            "telephone_number": "609-627-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CRANBURY RD STE 103",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088167600",
            "telephone_number": "732-254-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "INA PATRICIA",
        "middle_name": "RIVERA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02206600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.