Individual provider Active NPI

Namita R Pansare, PT

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1043575426
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0345821 Issued in NY
Practice address
107 40 Queens Blvd
Suite 207
Forest Hills, NY 11375
Phone
(718) 261-3100
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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 0345821 NY Primary

Addresses

Primary practice location

107 40 Queens Blvd
Suite 207
Forest Hills, NY 11375

Mailing address

83 15 Lefferts Blvd
Apt 1F
Kew Gardens, NY 11415
Phone (352) 278-7971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216002408 MA Practitioner - Physical Therapist in Private Practice 5991035008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Pond St
Unit 1
Sharon, MA 02067-2051
Phone (669) 226-2169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0345821NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R P Physical Therapy LLC Physical Therapist CurrentSince Nov 10, 2024 Accepting new patients
Ergo Physical Therapy, PC Physical Therapist PastSince May 1, 2013 Accepting new patients

Organizations & group practices 2

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1043575426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 15 LEFFERTS BLVD",
            "address_2": "APT 1F",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "352-278-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 40 QUEENS BLVD",
            "address_2": "SUITE 207",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-261-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSARE",
        "first_name": "NAMITA",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0345821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.