Organization Active NPI

Physical Therapy World and Rehabilitation Inc

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1700042819
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA01104900 Issued in NJ
Legal business name
PHYSICAL THERAPY WORLD AND REHABILITATION INC
Practice address
23 Mudie CT
East Brunswick, NJ 08816-3580
Phone
(973) 652-8482
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mrs. Akshita Manish Shah, PT
Title
President
Phone
(973) 652-8482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT40QA01104900 NJ Primary

Addresses

Primary practice location

23 Mudie CT
East Brunswick, NJ 08816-3580

Mailing address

23 Mudie CT
East Brunswick, NJ 08816-3580
Phone (973) 652-8482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110328000038 NJ Part B Supplier - Clinic/Group Practice 0749463891 Receives reassigned benefits from 1 practitioner
Practice locations: North Brunswick, NJ

National Provider Directory

National Provider Directory

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": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1700042819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MUDIE CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163580",
            "telephone_number": "973-652-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MUDIE CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163580",
            "telephone_number": "973-652-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY WORLD AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AKSHITA",
        "authorized_official_middle_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-652-8482",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01104900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.

Verify at the official NPI Registry.