Individual provider Active NPI

Nickie N Parmar, PT

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1730620048
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01718100 Issued in NJ
Practice address
758 Route 18
Suite 106
East Brunswick, NJ 08816-4910
Phone
(732) 254-0090
Fax
(732) 254-2292
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01718100 NJ Primary

Addresses

Primary practice location

758 Route 18
Suite 106
East Brunswick, NJ 08816-4910

Mailing address

758 Route 18
Suite 106
East Brunswick, NJ 08816-4910
Phone (732) 254-0090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213000682 NJ Practitioner - Physical Therapist in Private Practice 2860760204 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endurance Rehabilitation and Wellness Center, PCGroup PAC ID 1153463732, 3 clinicians

Practice addresses (Care Compare)

758 Route 18 N
Suite 106
East Brunswick, NJ 08816-4910
Phone (732) 254-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Endurance Rehabilitation and Wellness Center, PC Physical Therapist CurrentSince Apr 10, 2017 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Dec 15, 2022 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Dec 15, 2022 Accepting new patients
Lifespan Therapy & Sports Rehab LLC Physical Therapist PastSince Apr 10, 2017 Accepting new patients

Locations

758 State Route 18
Ste 106
East Brunswick, NJ 08816
Phone (732) 254-0090

3562 State Route 27
Ste 124
Kendall Park, NJ 08824
Phone (732) 317-4105

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

Organizations & group practices 8

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1730620048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 ROUTE 18",
            "address_2": "SUITE 106",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164910",
            "telephone_number": "732-254-0090",
            "fax_number": "732-254-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 ROUTE 18",
            "address_2": "SUITE 106",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164910",
            "telephone_number": "732-254-0090",
            "fax_number": "732-254-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMAR",
        "first_name": "NICKIE",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01718100",
            "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 Mar 20, 2017; 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.