Individual provider Active NPI

Gurjeet Chadha, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1053399733
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22056 Issued in NY
Practice address
730 Columbus Ave
Brick-Run Sports Physical Therapy, PLLC
New York, NY 10025-6658
Phone
(212) 665-5070
Fax
(212) 665-5077
NPI assigned
Jan 4, 2006
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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 22056 NY Primary

Addresses

Primary practice location

730 Columbus Ave
Brick-Run Sports Physical Therapy, PLLC
New York, NY 10025-6658

Mailing address

730 Columbus Ave
Brick-Run Sports Physical Therapy, PLLC
New York, NY 10025-6658
Phone (212) 665-5070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040417000139 NY Practitioner - Physical Therapist in Private Practice 3375538598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

730 Columbus Ave
New York, NY 10025-6658
Phone (212) 665-5070

Merit-based Incentive Payment System (MIPS)

Final score
22.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22056NYMDPhysical Therapist

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1053399733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COLUMBUS AVE",
            "address_2": "BRICK-RUN SPORTS PHYSICAL THERAPY, PLLC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256658",
            "telephone_number": "212-665-5070",
            "fax_number": "212-665-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 COLUMBUS AVE",
            "address_2": "BRICK-RUN SPORTS PHYSICAL THERAPY, PLLC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256658",
            "telephone_number": "212-665-5070",
            "fax_number": "212-665-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "GURJEET",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "22056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.