Active NPI
Nidhiben Tadvi, PHYSICAL THERAPIST
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
National Provider Identifier
1043940562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 048802
- Practice address
- 492 Lefferts Ave
Brooklyn, NY 11225-4781 - Phone
- (718) 774-6144
- NPI assigned
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 048802 | NY | Primary |
Addresses
Primary practice location
492 Lefferts Ave
Brooklyn, NY 11225-4781
Mailing address
492 Lefferts Ave
Brooklyn, NY 11225-4781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048802 | Other | NY | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 492LeffertsAve | Direct | Road to Recovery physical therapy, P.C. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
492 Lefferts Ave
Brooklyn, NY 11225-4781
Phone (718) 774-6144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048802 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Road to Recovery Physical Therapy, P.C. | Current | Accepting new patients |
Locations
535 Flushing Ave
Brooklyn, NY 11205
Phone (781) 488-7272
Organizations & group practices 1
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1518264977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1043940562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 LEFFERTS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112254781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 LEFFERTS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112254781",
"telephone_number": "718-774-6144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADVI",
"first_name": "NIDHIBEN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "048802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "048802",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "492LeffertsAve",
"affiliation": "Y",
"endpointDescription": "mailing address",
"affiliationName": "Road to Recovery physical therapy, P.C.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "492 Lefferts Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112254781",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.