Trinity Middletown LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TRINITY MIDDLETOWN LLC

Practice address

558 Hwy 35
Union Square Plaza
Red Bank, NJ 07701-5066

Phone

(732) 219-5700

Fax

(732) 219-5703

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Michael Rizkalla, OTR

Title

Owner/Occupational Therapist

Phone

(732) 219-5700

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1700838216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HIGHWAY 35",
            "address_2": "SUITE 558 UNION SQUARE PLAZA OFFICE COMMONS",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015038",
            "telephone_number": "732-219-5700",
            "fax_number": "732-219-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 HWY 35",
            "address_2": "UNION SQUARE PLAZA",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015066",
            "telephone_number": "732-219-5700",
            "fax_number": "732-219-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MIDDLETOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "RIZKALLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "732-219-5700",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.