Prinjal Pravinchandra Raj

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052011 Issued in NY

Practice address

83 Princess St
Hicksville, NY 11801-1155

Phone

(346) 438-4802

NPI assigned

Feb 21, 2024

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anthony Belo Physical Therapy PCGroup PAC ID 7810181401, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Anthony Belo Physical Therapy PC

  dba Total Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Williston Park, NY
  • NPI 1588976401
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1023874724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PRINCESS ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011155",
            "telephone_number": "346-438-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJ",
        "first_name": "PRINJAL",
        "middle_name": "PRAVINCHANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ellis MD PLLC
• Natan Rafaelov, PHARM. D.
• Philip M Rafiy, MD
• Arif Rahman, RN
• Sabrina Nicole Raineri, AUD
• Yahya Oyetunde Raji
• Diana Rallis, PHARMD
• Norma A Ramirez, NP
• Farah Ramnauth, LPN
• Shun Ramnauth

• Physical Therapist in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.