Individual provider Active NPI

Vismita Makadia

  • Physical Therapy Assistant
  • Glen Oaks, NY
National Provider Identifier
1073002044
Registry record updated May 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0087861 Issued in NY
Practice address
25422 73Rd Rd
Glen Oaks, NY 11004-1156
Phone
(314) 814-5027
NPI assigned
May 5, 2018
Last updated
May 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0087861 NY Primary

Addresses

Primary practice location

25422 73Rd Rd
Glen Oaks, NY 11004-1156

Mailing address

25422 73Rd Rd
Glen Oaks, NY 11004-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0087861NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525478400000",
    "number": "1073002044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25422 73RD RD",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25422 73RD RD",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041156",
            "telephone_number": "314-814-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKADIA",
        "first_name": "VISMITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2018-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "0087861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.