Individual provider Active NPI

Ashwini Deshpande

  • Physical Therapist
  • Hamilton, NJ
National Provider Identifier
1033394010
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA01244100 Issued in NJ
Practice address
2501 Kuser Rd Ste 3
Hamilton, NJ 08691
Phone
(609) 896-0444
NPI assigned
Jan 8, 2008
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 PT40QA01244100 NJ Primary

Addresses

Primary practice location

2501 Kuser Rd Ste 3
Hamilton, NJ 08691

Mailing address

2501 Kuser Rd Ste 3
Hamilton, NJ 08691-3386
Phone (609) 896-0444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashwini.deshpande@mbortho.directbygreenway.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000106 NJ Practitioner - Physical Therapist in Private Practice 4880766369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40QA01244100NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1033394010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086913386",
            "telephone_number": "609-896-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "609-896-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "ASHWINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01244100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashwini.deshpande@mbortho.directbygreenway.com",
            "affiliation": "N",
            "address_1": "2501 Kuser Rd Ste 3",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.