Individual provider Active NPI

Michael C Thakore, DPT

  • Physical Therapist
  • Piscataway, NJ
National Provider Identifier
1982245726
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01879000 Issued in NJ
Practice address
220 Centennial Ave
Piscataway, NJ 08854-3940
Phone
(732) 980-6235
NPI assigned
Oct 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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 40QA01879000 NJ Primary

Addresses

Primary practice location

220 Centennial Ave
Piscataway, NJ 08854-3940

Mailing address

9 Tanager LN
Cranbury, NJ 08512-2122
Phone (201) 230-5837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211020001313 NJ Practitioner - Physical Therapist in Private Practice 3072901263 Reassigns benefits to 3 organizations
I20250806000974 MA Practitioner - Physical Therapist in Private Practice 3072901263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1982245726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TANAGER LN",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085122122",
            "telephone_number": "201-230-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CENTENNIAL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543940",
            "telephone_number": "732-980-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKORE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01879000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.