Organization Active NPI

Trinity Rehab Brick, P.a.

  • Physical Therapist
  • Brick, NJ
National Provider Identifier
1710137419
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRINITY REHAB BRICK, P.A.
Practice address
150 Chambers Bridge Rd
Suite 200
Brick, NJ 08723-3491
Phone
(732) 219-5700
Fax
(732) 219-5703
NPI assigned
Sep 30, 2008
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Mr. Michael Rizkalla, OTR/L, MLDTNPI 1841242252
Title
President/Ceo
Phone
(732) 219-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NJ Primary

Addresses

Primary practice location

150 Chambers Bridge Rd
Suite 200
Brick, NJ 08723-3491

Mailing address

558 Highway 35
Union Square Plaza Office Commons
Red Bank, NJ 07701-5066
Phone (732) 219-4700

National Provider Directory

National Provider Directory

Locations

558 Highway 35
Ofc Cmns
Red Bank, NJ 07701

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1710137419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 HIGHWAY 35",
            "address_2": "UNION SQUARE PLAZA OFFICE COMMONS",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015066",
            "telephone_number": "732-219-4700",
            "fax_number": "732-219-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHAMBERS BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087233491",
            "telephone_number": "732-219-5700",
            "fax_number": "732-219-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY REHAB BRICK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "RIZKALLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "732-219-5700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, MLDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • 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.