Active NPI
Ketki Pathak, PT
- Physical Therapist
- Edison, NJ
National Provider Identifier
1578710042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01043400
- Practice address
- 42 Parsonage Rd
Edison, NJ 08837-2782 - Phone
- (732) 902-2700
- Fax
- (949) 862-7791
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01043400 | NJ | Primary |
Addresses
Primary practice location
42 Parsonage Rd
Edison, NJ 08837-2782
Mailing address
42 Parsonage Rd
Edison, NJ 08837-2782
Phone (732) 902-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072616DBD | Other | MEDICARE | |
| 072616YEW7 | Other | NJ | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| PN Consultancy Services Inc. | Physical Therapist | Current | Accepting new patients |
| PN Consultancy Services Inc. | Physical Therapist | Current | Accepting new patients |
| Asap Physical Therapy | Past | Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
7 Carnegie Plz
Cherry Hill, NJ 08003
42 Parsonage Rd
Edison, NJ 08837
Phone (732) 548-5151
161 Route 27
Edison, NJ 08820
Phone (732) 902-2700
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
Organizations & group practices 4
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.
-
- Physical Therapist
- Edison, NJ
- NPI 1033417191
-
- Physical Therapist
- Edison, NJ
- NPI 1124659917
-
- Physical Therapy Clinic/Center
- Trenton, NJ
- NPI 1033495957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1578710042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 PARSONAGE RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372782",
"telephone_number": "732-902-2700",
"fax_number": "949-862-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 PARSONAGE RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372782",
"telephone_number": "732-902-2700",
"fax_number": "949-862-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATHAK",
"first_name": "KETKI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01043400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "072616DBD",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "072616YEW7",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.