Individual provider Active NPI

Nidhiben Tadvi, PHYSICAL THERAPIST

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1043940562
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
048802 Issued in NY
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

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
048802OtherNYLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20220628003253 NY Practitioner - Physical Therapist in Private Practice 0547649139 Reassigns benefits to 1 organization

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
Road to Recovery Physical Therapy, P.C.Group PAC ID 8022295096, 22 clinicians

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

LicenseStateTypeSpecialty
048802NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Road to Recovery Physical Therapy, P.C. CurrentSince Jun 9, 2022 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.

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.

Verify at the official NPI Registry.