Trinity Rehab Somerset PA
Organization Active NPI Physical Therapy Clinic/Center · Brick, NJ
NPI 1578085965 · NPPES record last updated Apr 17, 2019
Key facts
- NPI
- 1578085965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- TRINITY REHAB SOMERSET PA
- Practice address
- 486 Brick Blvd
Brick, NJ 08723-6040 - Phone
- (732) 219-5700
- NPI assigned
- Jul 7, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- TRINITY REHAB SOMERSET PA
Authorized official
- Name
- Tonya Gavrielides
- Title
- Operations Manager
- Phone
- (732) 219-5700
Other NPIs on the same Medicare enrollment 37
Corporate family (same tax ID) 33
Practitioners 5
-
Amanda L Cook, DPT
-
Laura Anastasia, DPT
-
Michael Rizkalla, OTR
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170113000019 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0547540809 |
Receives reassigned benefits from 136 practitioners 37 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Piscataway, NJ; Morristown, NJ; Red Bank, NJ; Sewell, NJ; Short Hills, NJ; Shrewsbury, NJ; Somers Point, NJ; Somerset, NJ… |
National Provider Directory
- Tax ID family
- Trinity Rehab Somerset PA
- Part of
- Trinity Rehab Somerset PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
486 Brick Blvd
Brick, NJ 08723-6040
Mailing address
554 Route 35
Red Bank, NJ 07701-5066
Phone (732) 219-5700
Other practice location 1
150 Chambers Bridge Rd Ste 200
Brick, NJ 08723-3491
Phone (732) 219-5700 ext. 110
Other names
- Trinity Rehab Brick
Other providers in Brick, NJ
- Duc Thi Tran
- Transparent Healing Psychotherapy LLC
- Timothy J Trego
- Tri-State Pharmaceutical LLC
- Trinity Rehab Brick, P.a.
- William J Trub
- Jessica Truisi
- TS Adult Enrichment Services LLC
- Yuliya Tsimring
- Caitlin Therese Tumminelli
All providers in Brick, NJ · Physical Therapy Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.