Care Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CARE REHAB LLC

Practice address

1450 Parkside Ave Ste 4
Ewing, NJ 08638-2948

Phone

(609) 955-2240

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Avanthi Avadhanam, PTNPI 1447668561

Title

Owner

Phone

(609) 955-2240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avanthi Avadhanam

  • Physical Therapist
  • Hamilton, NJ
  • NPI 1447668561

  NJ, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1962093732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAWTHORN DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361932",
            "telephone_number": "609-955-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AVE STE 4",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382948",
            "telephone_number": "609-955-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "AVADHANAM",
        "authorized_official_first_name": "AVANTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-955-2240",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ewing, NJ
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.