NPIMap

Organization Active NPI

Take Charge Rehab & Wellness, PC

  • Physical Therapy Clinic/Center
  • Morganville, NJ
National Provider Identifier
1831782622
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TAKE CHARGE REHAB & WELLNESS, PC
Practice address
100 Campus Dr Ste 102
Morganville, NJ 07751-1253
Phone
(732) 591-9494
Fax
(732) 591-8850
NPI assigned
Feb 12, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Dr. Reshma Ram Mirchandani, DPT, MSPTNPI 1609820489
Title
President
Phone
(732) 591-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

100 Campus Dr Ste 102
Morganville, NJ 07751-1253

Mailing address

100 Campus Dr Ste 102
Morganville, NJ 07751-1253
Phone (732) 591-9494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210409000072 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810305935 Receives reassigned benefits from 1 practitioner
Practice locations: Morganville, NJ

National Provider Directory

National Provider Directory

Locations

100 Campus Dr
Morganville, NJ 07751
Phone (732) 591-9494

100 Campus Dr
Ste 102
Morganville, NJ 07751
Phone (732) 591-9494

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1831782622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR STE 102",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511253",
            "telephone_number": "732-591-9494",
            "fax_number": "732-591-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR STE 102",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511253",
            "telephone_number": "732-591-9494",
            "fax_number": "732-591-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CHARGE REHAB & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "MIRCHANDANI",
        "authorized_official_first_name": "RESHMA",
        "authorized_official_middle_name": "RAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-591-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.