Astra Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ASTRA PHYSICAL THERAPY LLC

Practice address

1856 Oak Tree Rd
Edison, NJ 08820-2704

Phone

(908) 208-7271

Fax

(844) 444-1160

NPI assigned

Aug 10, 2021

Last updated

Dec 20, 2023By 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

Pallavi Ranwadkar, PT, OCSNPI 1467711440

Title

Owner

Phone

(908) 208-7271

Specialties & licenses 2

Addresses

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.

• Pallavi Ranwadkar, PT, OCS

  • Physical Therapist
  • Edison, NJ
  • NPI 1467711440
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1801561071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 STEPHENVILLE PKWY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202615",
            "telephone_number": "315-601-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202704",
            "telephone_number": "908-208-7271",
            "fax_number": "844-444-1160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Stephenville Pkwy",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202615",
            "country_code": "US",
            "telephone_number": "315-601-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASTRA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "RANWADKAR",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-208-7271",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Edison, NJ
• Providers in Edison, 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 Dec 20, 2023; 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.