Organization Active NPI

Prime Physical Therapy

  • Physical Therapist
  • Somerset, NJ
National Provider Identifier
1861603326
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00575800 Issued in NJ
Legal business name
PRIME PHYSICAL THERAPY
Practice address
79 Veronica Ave
Somerset, NJ 08873-3448
Phone
(732) 246-0665
Fax
(732) 246-0776
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Tharwat Said, PTNPI 1376659375
Title
Director
Phone
(732) 246-0665

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00575800 NJ Primary

Addresses

Primary practice location

79 Veronica Ave
Somerset, NJ 08873-3448

Mailing address

79 Veronica Ave
Somerset, NJ 08873-3448
Phone (732) 246-0665

National Provider Directory

National Provider Directory

Locations

79 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0665

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1861603326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "732-246-0665",
            "fax_number": "732-246-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "732-246-0665",
            "fax_number": "732-246-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "THARWAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-246-0665",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00575800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.