New Horizons Physical Therapy & Lymphedema Care LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00933100 Issued in NJ

Legal business name

NEW HORIZONS PHYSICAL THERAPY & LYMPHEDEMA CARE LLC

Practice address

620 Towne Centre Dr
North Brunswick, NJ 08902

Phone

(732) 658-1896

Fax

(732) 790-0952

NPI assigned

Jun 27, 2010

Last updated

Aug 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chandrashekhar Vyas

Title

Member

Phone

(732) 421-2061

Specialties & licenses 1

Addresses

Other names 1

• New Horizons Physical Therapy Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ketki S Vyas, DPT

  • Physical Therapist
  • North Brunswick, NJ
  • NPI 1740587187
  Medicare reassignment NPD

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

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1700197563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PARKSIDE DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021221",
            "telephone_number": "732-297-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TOWNE CENTRE DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-658-1896",
            "fax_number": "732-790-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS PHYSICAL THERAPY & LYMPHEDEMA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-27",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "CHANDRASHEKHAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-421-2061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00933100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New Horizons Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapy Clinic/Center in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.