Trident at Home Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TRIDENT AT HOME PHYSICAL THERAPY LLC

Practice address

5 E Francis Ave
Morganville, NJ 07751-1227

Phone

(908) 565-1037

NPI assigned

Jul 7, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bhavesh D Mistry, PTNPI 1588788376

Title

Owner

Phone

(908) 565-1037

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bhavesh D. Mistry, P.T.

  • Physical Therapist
  • Old Bridge, NJ
  • NPI 1588788376
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1578181541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077510022",
            "telephone_number": "908-565-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E FRANCIS AVE",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511227",
            "telephone_number": "908-565-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT AT HOME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "BHAVESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-565-1037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Speech Tree
• Charmaine C Tiu, PT
• Saraanne Tkachuk, PA-C
• Jennifer Townsend, MS, LPC, NCC
• Tracy Trattner, LCSW
• Nicole Udeh
• University Orthopaedic Associates, LLC
• Upper Cervical Chiropractic of Monmouth, LLC
• Elizabeth Uziel, MA CCC-SLP
• Kristina Valler, CCC SLP

• Physical Therapy Clinic/Center in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.