PRIME HEALTH PHYSICAL THERAPY
NPI 1104891720
Clinic/Center - Physical Therapy in Linden, NJ
About Prime Health Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME HEALTH PHYSICAL THERAPY (NPI 1104891720) is a healthcare organization registered as a physical therapy in Linden, New Jersey and active in the NPI registry since February 2006. The organization lists Shawn A Davis, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Health Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Prime Health Physical Therapy, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prime Health Physical Therapy's NPI number?
The NPI number for Prime Health Physical Therapy is 1104891720. It was assigned to this organization in the NPPES registry on February 17, 2006.
Where is Prime Health Physical Therapy located?
Prime Health Physical Therapy is located at 822 N Wood Ave Suite 3, Linden, NJ 07036. The listed phone number is (908) 925-9700.
What is Prime Health Physical Therapy's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Prime Health Physical Therapy enrolled in Medicare?
Yes. Prime Health Physical Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Health Physical Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Prime Health Physical Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prime Health Physical Therapy was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Prime Health Physical Therapy · NPI 1104891720
Physical Therapy organization in Linden, New Jersey. Organization record, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1104891720 (Entity type: Organization)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Shawn Davis, DIRECTOR
## Practice location
- **Address:** 822 N WOOD AVE, SUITE 3, Linden, NJ 07036-4038
- **Phone:** (908) 925-9700 · **Fax:** (908) 663-2551
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2015
- **Other identifiers:** Medicare PIN 022477 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1104891720) · Data from the CMS NPPES public registry.