Artem Imnadze, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01873100 Issued in NJ

Practice address

5 Beverly CT
Robbinsville, NJ 08691-1332

Phone

(609) 436-9089

NPI assigned

Sep 16, 2019

Last updated

Sep 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Next Level Physical TherapyGroup PAC ID 0648549774, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Next Level Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Hamilton, NJ
  • NPI 1396278388

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1568012193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEVERLY CT",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911332",
            "telephone_number": "609-436-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEVERLY CT",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911332",
            "telephone_number": "609-436-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMNADZE",
        "first_name": "ARTEM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01873100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Hernandez, LPC
• Edward Hershman, M.D.
• Mont Ray Jose Holgado, D.M.D.
• Howe Service Corp (Comfort Keepers #613)
• Tyra Hughes
• Keyonne Ingram
• Geraldine J Isme
• Vineela Jagana, MSPT
• Jana Rose Jimenez, DMD
• Alyssa Marie Jinks

• Physical Therapist in Robbinsville, NJ
• Providers in Robbinsville, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.