Individual provider Active NPI

Sunny R Thakkar, PT

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1619247996
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033695 Issued in NY
Practice address
610 Washington Blvd
Jersey City, NJ 07310
Phone
(212) 227-3233
NPI assigned
Jan 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033695 NY Primary

Addresses

Primary practice location

610 Washington Blvd
Jersey City, NJ 07310

Mailing address

610 Washington Blvd
Jersey City, NJ 07310-1400
Phone (212) 227-3233

Other practice location 1

160 Broadway, East Building , 6th Floor
new York, NY 10038
Phone (267) 271-8938

Other practice location 2

129 Newark Ave
Jersey City, NJ 07302-2811
Phone (212) 227-3233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803000598 NJ Practitioner - Physical Therapist in Private Practice 4587820154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Rehab Experts LLCGroup PAC ID 9335404656, 5 clinicians

Practice addresses (Care Compare)

610 Washington Blvd
Jersey City, NJ 07310-1400
Phone (267) 271-8938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033695NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Physical Therapy and Wellness LLC CurrentSince Jun 30, 2023 Accepting new patients
New Jersey Rehab Experts LLC Physical Therapist CurrentSince Aug 5, 2016 Accepting new patients
Transformative Health & Wellness LLC PastSince Dec 15, 2021 Accepting new patients

Locations

401 Omni Dr
Hillsborough, NJ 08844
Phone (212) 227-3233

129 Newark Ave
Jersey City, NJ 07302
Phone (201) 333-2223

610 Washington Blvd
Jersey City, NJ 07310
Phone (201) 222-1266

186 Princeton Hightstown Rd
Ste 3B-104
West Windsor Township, NJ 08550
Phone (212) 227-3233

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1619247996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "212-227-3233",
            "fax_number": "866-549-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07310",
            "telephone_number": "212-227-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Broadway, East Building , 6th Floor",
            "address_purpose": "LOCATION",
            "city": "new York",
            "state": "NY",
            "postal_code": "10038",
            "country_code": "US",
            "telephone_number": "267-271-8938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 Newark Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073022811",
            "country_code": "US",
            "telephone_number": "212-227-3233",
            "fax_number": "866-549-5687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "SUNNY",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.