NPIMap

Organization Active NPI

Tri-Pro Physical Therapy LLC

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1982154266
Registry record updated Nov 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01478200 Issued in NJ
Legal business name
TRI-PRO PHYSICAL THERAPY LLC
Practice address
629 Amboy Ave Ste 2
Edison, NJ 08837-3579
Phone
(732) 485-3990
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2017

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

Authorized official

Name
Dr. Kulwant Kaur, PT, DPTNPI 1033623426
Title
Physical Therapist/ Partner
Phone
(732) 485-3990

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA01459000 NJ
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA01478200 NJ Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA01475400 NJ

Addresses

Primary practice location

629 Amboy Ave Ste 2
Edison, NJ 08837-3579

Mailing address

629 Amboy Ave Ste 2
Edison, NJ 08837-3579
Phone (732) 485-3990

Other names 1

  • Tri-Pro Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180312000357 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204197171 Receives reassigned benefits from 3 practitioners
Practice locations: Edison, NJ; Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

629 Amboy Ave
Ste 2
Edison, NJ 08837
Phone (732) 485-3990

160 Durham Ave
Ste 103
Metuchen, NJ 08840
Phone (848) 229-2093

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511568000000",
    "number": "1982154266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 AMBOY AVE STE 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373579",
            "telephone_number": "732-485-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AMBOY AVE STE 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373579",
            "telephone_number": "732-485-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-PRO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-11-25",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "KULWANT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ PARTNER",
        "authorized_official_telephone_number": "732-485-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01459000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01478200",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01475400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Pro Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; 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.