Organization Active NPI

Sar Physical Therapy LLC

  • Physical Therapist
  • Monroe Township, NJ
National Provider Identifier
1548992597
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SAR PHYSICAL THERAPY LLC
Practice address
317 Morning Glory Dr
Monroe Township, NJ 08831-5338
Phone
(631) 766-9522
NPI assigned
Jun 28, 2022
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gokula K Jadhav Srinivasa, PTNPI 1902224603
Title
Owner
Phone
(631) 766-9522

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)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

317 Morning Glory Dr
Monroe Township, NJ 08831-5338

Mailing address

317 Morning Glory Dr
Monroe Township, NJ 08831-5338
Phone (631) 766-9522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220714002663 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193106698 Receives reassigned benefits from 4 practitioners
Practice locations: Monroe Township, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1548992597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MORNING GLORY DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315338",
            "telephone_number": "631-766-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MORNING GLORY DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315338",
            "telephone_number": "631-766-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "JADHAV SRINIVASA",
        "authorized_official_first_name": "GOKULA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-766-9522",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.

Verify at the official NPI Registry.