Individual provider Active NPI

Reshma A Mehta

  • Physical Therapist
  • Berkeley Heights, NJ
National Provider Identifier
1962521013
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00923800 Issued in NJ
Practice address
40 Watchung Way
Berkeley Heights, NJ 07922-2600
Phone
(908) 771-5700
NPI assigned
Mar 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00923800 NJ Primary

Addresses

Primary practice location

40 Watchung Way
Berkeley Heights, NJ 07922-2600

Mailing address

19 Highland Dr
Parlin, NJ 08859-2522
Phone (732) 261-2587

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129001798 NJ Practitioner - Physical Therapist in Private Practice 0244597227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Health Physical TherapyGroup PAC ID 3678476066, 3 clinicians

Practice addresses (Care Compare)

822 N Wood Ave
Suite C3
Linden, NJ 07036-4000
Phone (908) 925-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Health Physical Therapy CurrentSince Oct 19, 2017 Accepting new patients

Locations

1907 Oak Tree Rd
Ste 203
Edison, NJ 08820
Phone (732) 283-2500

822 N Wood Ave
Ste 3
Linden, NJ 07036
Phone (908) 925-9100

822 N Wood Ave
Ste C3
Linden, NJ 07036
Phone (908) 925-9700

252 Bridge St
Metuchen, NJ 08840
Phone (732) 243-9890

Organizations & group practices 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962521013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HIGHLAND DR",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592522",
            "telephone_number": "732-261-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WATCHUNG WAY",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222600",
            "telephone_number": "908-771-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RESHMA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00923800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.