Active NPI
Old Bridge Center of Physical Therapy Inc
- Physical Therapist
- Old Bridge, NJ
National Provider Identifier
1598889479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00999300
- Legal business name
- OLD BRIDGE CENTER OF PHYSICAL THERAPY INC
- Practice address
- 200 Perrine Rd
Suite 200
Old Bridge, NJ 08857-2842 - Phone
- (732) 525-1133
- NPI assigned
- Mar 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bhavesh D. Mistry
- Title
- Director
- Phone
- (732) 525-1133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00999300 | NJ | Primary |
Addresses
Primary practice location
200 Perrine Rd
Suite 200
Old Bridge, NJ 08857-2842
Mailing address
200 Perrine Rd
Suite 200
Old Bridge, NJ 08857-2842
Phone (732) 525-1133
National Provider Directory
National Provider DirectoryLocations
200 Perrine Rd
Ste 200
Old Bridge, NJ 08857
Phone (732) 525-1133
400 Perrine Rd
Ste 404
Old Bridge, NJ 08857
Phone (732) 525-1133
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Aberdeen, NJ
- NPI 1891746848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1598889479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"organization_name": "OLD BRIDGE CENTER OF PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-18",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "MISTRY",
"authorized_official_first_name": "BHAVESH",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-525-1133"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00999300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.