Bhavesh D. Mistry, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00999300 Issued in NJ

Practice address

200 Perrine Rd
Suite 200
Old Bridge, NJ 08857-2842

Phone

(732) 525-1133

NPI assigned

Mar 19, 2007

Last updated

Feb 8, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Trident at Home Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Morganville, NJ
  • NPI 1578181541
  NPD Authorized official
• Old Bridge Center of Physical Therapy Inc

  • Physical Therapist
  • Old Bridge, NJ
  • NPI 1598889479
  Authorized official Same address or phone

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1588788376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD",
            "address_2": "STE 404",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572811",
            "telephone_number": "732-525-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 200",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572842",
            "telephone_number": "732-525-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "BHAVESH",
        "middle_name": "D.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00999300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Miller-Butcher, LCSW
• Briana Miller
• Jessica Schutzbank Miller, MD
• Babar Mirza, MD
• Stephanie Renee Mistretta, MSN, APRN, ACNPC-AG
• MJL Services LLC
• MK Medical Supplies
• Michael M. Moawad, DMD
• Momentum Physical Therapy LP
• Justene L Mooney, NP

• Physical Therapist in Old Bridge, NJ
• Providers in Old Bridge, 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 Feb 8, 2018; 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.