Individual provider Active NPI

Simran Anil Lund, BPT, PPDPT

  • Physical Therapist
  • Parlin, NJ
National Provider Identifier
1710479779
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01912100 Issued in NJ
Practice address
3276 Washington Rd
Parlin, NJ 08859-1676
Phone
(732) 238-8484
Fax
(732) 855-9755
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P17893 NC
Physical Therapist 225100000X 40QA01912100 NJ Primary

Addresses

Primary practice location

3276 Washington Rd
Parlin, NJ 08859-1676

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Other practice location 1

23 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 274-2188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316000019 NJ Practitioner - Physical Therapist in Private Practice 7517211709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

1000 Galloping Hill Rd
Suite 102
Union, NJ 07083-7989
Phone (904) 258-8782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates, PA CurrentSince Feb 24, 2020 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Apr 10, 2025 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

207 Livingston Ave
New Brunswick, NJ 08901
Phone (908) 455-8200

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

3276 Washington Rd
Parlin, NJ 08859
Phone (732) 238-8484

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

1000 Galloping Hill Rd
Ste 102
Union, NJ 07083
Phone (904) 258-8782

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Organizations & group practices 4

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1710479779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3276 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591676",
            "telephone_number": "732-238-8484",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Turtle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288033152",
            "country_code": "US",
            "telephone_number": "828-274-2188",
            "fax_number": "828-274-7843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUND",
        "first_name": "SIMRAN",
        "middle_name": "ANIL",
        "credential": "BPT, PPDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17893",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01912100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.