Organization Active NPI

Old Bridge Center of Physical Therapy Inc

  • Physical Therapist
  • Old Bridge, NJ
National Provider Identifier
1598889479
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00999300 Issued in NJ
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

Updated by the provider on Feb 12, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.