Ketaki Nagarkar

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027090 Issued in NY

Practice address

11 Century Hill Dr Ste 104
Latham, NY 12110

Phone

(518) 713-4106

NPI assigned

Jul 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ketaki Pethe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1063725018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CENTURY HILL DR STE 104",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102151",
            "telephone_number": "518-713-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CENTURY HILL DR STE 104",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-713-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARKAR",
        "first_name": "KETAKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KETAKI",
            "last_name": "PETHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Myers
• Myung Hyo Kim, M.D., P.C.
• Behnoosh Nadealizadeh
• Marisa M Nadeau, DPT
• Nitalia Naeem
• Swetha P Nair, LMHC
• Natalia Veselova, MD
• Natalie Lopasic, M.D., PLLC
• Myra Malmed Nathan, PH.D.
• Lauren Gene Navratil, MHC

• Physical Therapist in Latham, NY
• Providers in Latham, 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 May 18, 2018; 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.