Individual provider Active NPI

Bhavna Rajesh Devnani, PT

  • Physical Therapist
  • Ridgewood, NY
National Provider Identifier
1043927817
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048753 Issued in NY
Practice address
6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone
(929) 299-6505
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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 048753 NY Primary

Addresses

Primary practice location

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200

Mailing address

12 Front Street
FFR-3, First Floor
Jersey City, NJ 07302
Phone (469) 426-6939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323002179 NY Practitioner - Physical Therapist in Private Practice 7719351287 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048753NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Pond Physical Therapy Greenpoint, P.C Physical Therapist CurrentSince Feb 14, 2023 Accepting new patients
New York Bone and Joint Specialists, PLLC Physical Therapist PastSince Nov 1, 2022 Accepting new patients

Locations

1007 Manhattan Ave
Fl 1
Brooklyn, NY 11222
Phone (718) 383-7361

1007 Manhattan Ave
Brooklyn, NY 11222
Phone (718) 383-7361

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1043927817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FRONT STREET",
            "address_2": "FFR-3, FIRST FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "469-426-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855200",
            "telephone_number": "929-299-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVNANI",
        "first_name": "BHAVNA RAJESH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.