Richmond Physical Therapy, PC
Organization Active NPI Physical Therapist · Staten Island, NY
NPI 1053644153 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1053644153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 28520-1 (NY)
- Legal business name
- RICHMOND PHYSICAL THERAPY, PC
- Practice address
- 1785 Forest Ave
Staten Island, NY 10303-2107 - Phone
- (646) 820-5669
- NPI assigned
- Sep 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Madhurani Prakash Mahajan
- Title
- Director
- Phone
- (646) 820-5669
Practitioners 23
-
Madhurani Prakash Mahajan, PT, DPT
-
Krishma Sanjay Bhatt, PT, DPT
-
Zankhana Bhavsar, PT
-
Priyanka Vijay Purohit, P.T.
-
Dare Abiodun, PT, DPT
-
Esha Kadakia, DPT
-
Rashmi Chute, PT
-
Beshoy Ghaly, DPT, RMSK, ECS
-
Khyati Patel, PTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120308000224 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3577722727 |
Receives reassigned benefits from 17 practitioners Practice locations: Staten Island, NY |
| O20221031002797 | NJ | Part B Supplier - Clinic/Group Practice | 3577722727 |
Receives reassigned benefits from 3 practitioners Practice locations: Matawan, NJ |
National Provider Directory
Locations
3996 County Road 516
Ste 101
Matawan, NJ 07747
Phone (732) 391-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 28520-1 | NY | Yes |
Addresses
Primary practice location
1785 Forest Ave
Staten Island, NY 10303-2107
Mailing address
1785 Forest Ave
Staten Island, NY 10303-2107
Phone (646) 820-5669
Other practice location 1
158 Main St Ste 100
Matawan, NJ 07747-3178
Phone (646) 820-5669
Other practice location 2
3377 Richmond Ave
Staten Island, NY 10312-2025
Phone (646) 820-5669
Other practice location 3
2627 Hylan Blvd Ste A2
Staten Island, NY 10306-4344
Phone (646) 820-5669
Other providers in Staten Island, NY
- Richmond Optometry PC
- Richmond Otolaryngology Group PC
- Richmond Pediatrics, P.C.
- Richmond Pharmacy & Surgicals Inc.
- Richmond Physical Therapy Rehabilitation PC
- Richmond Physician Associates PC
- Richmond Physicians Services, P.C.
- Richmond Podiatry Associates
- Richmond Primary Care Specialists, PC
- Richmond Psychological Services, P.C.
All providers in Staten Island, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.