Individual provider Active NPI

Rita Ermila R Iglesias, PT, DPT

  • Physical Therapist
  • Basking Ridge, NJ
National Provider Identifier
1902096134
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01160100 Issued in NJ
Practice address
46 Newell Dr
Basking Ridge, NJ 07920-2510
Phone
(908) 499-0208
NPI assigned
Jul 25, 2007
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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 40QA01160100 NJ Primary

Addresses

Primary practice location

46 Newell Dr
Basking Ridge, NJ 07920-2510

Mailing address

46 Newell Dr
Basking Ridge, NJ 07920-2510
Phone (908) 499-0208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000015 NJ Practitioner - Physical Therapist in Private Practice 7719130798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01160100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physis Physical Therapy of New Jersey Inc Physical Therapist CurrentSince Jul 28, 2024 Accepting new patients
Compassionfirst Rehab Services LLC Physical Therapist CurrentSince Jun 17, 2020 Accepting new patients

Locations

665 Martinsville Rd
Ste 219
Basking Ridge, NJ 07920
Phone (908) 350-7179

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1902096134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NEWELL DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202510",
            "telephone_number": "908-499-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NEWELL DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202510",
            "telephone_number": "908-499-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "RITA ERMILA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01160100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.