Proactive PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROACTIVE PT LLC

Practice address

1480 Williamsbridge Rd
Bronx, NY 10461-2505

Phone

(214) 606-4154

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Suruch Rashmikant Patel, PTNPI 1124635859

Title

Home Health Physical Therapist

Phone

(214) 606-4154

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suruch Rashmikant Patel

  • Physical Therapist
  • New York, NY
  • NPI 1124635859
  NPD Authorized official

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1063281145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SHERMAN PL APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073733",
            "telephone_number": "214-606-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612505",
            "telephone_number": "214-606-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURUCH",
        "authorized_official_middle_name": "RASHMIKANT",
        "authorized_official_title_or_position": "HOME HEALTH PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "214-606-4154",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah Ruth Procaccini, M.S., CFY-SLP
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• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.