Individual provider Active NPI

Pujaben Parikh, PT

  • Physical Therapist
  • Needham, MA
National Provider Identifier
1013427533
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26763 Issued in MA
Practice address
15 Oak Street
Suite 1
Needham, MA 02492
Phone
(781) 444-1614
Fax
(781) 444-9260
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038711-1 NY
Physical Therapist 225100000X 26763 MA Primary

Addresses

Primary practice location

15 Oak Street
Suite 1
Needham, MA 02492

Mailing address

15 Oak Street
Suite 1
Needham, MA 02492
Phone (781) 444-1614

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171019000719 NY Practitioner - Physical Therapist in Private Practice 1052687084 Reassigns benefits to 1 organization
I20230725001780 MA Practitioner - Physical Therapist in Private Practice 1052687084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennedy Brothers Physical Therapy IncGroup PAC ID 9537118187, 6 clinicians

Practice addresses (Care Compare)

15 Oak St
Suite 1
Needham, MA 02492-2470
Phone (781) 444-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038711NYMDGeneral Practice Dentistry
26763MAMDPhysical Therapist
038711-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health Physical Therapy Physical Therapist CurrentSince Oct 11, 2017 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist PastSince Jun 26, 2023 Accepting new patients

Locations

25 Braintree Hill Park
Ofc P
Braintree, MA 02184
Phone (781) 444-1614

15 Oak St
Ste 1
Needham, MA 02492
Phone (781) 444-1614

41 Arterial Plz
Gloversville, NY 12078
Phone (518) 775-9554

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1013427533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAK STREET",
            "address_2": "SUITE 1",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-444-1614",
            "fax_number": "781-444-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAK STREET",
            "address_2": "SUITE 1",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-444-1614",
            "fax_number": "781-444-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "PUJABEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038711-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.