Premshankar Nadar, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045944 Issued in NU

Practice address

Whitestone Physical Therapy of Queens, PC
150-12, Lower Level -1, 14TH Ave
Whitestone, NY 11357

Phone

(718) 746-8757

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wantage Physical Rehabilitation LLCGroup PAC ID 4981637261, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wantage Physical Rehabilitation LLC

  • Physical Therapist
  • Sussex, NJ
  • NPI 1477622496
  Medicare reassignment Care Compare group NPD Authorized official
• Pikeview Physical Therapy Rehabilitation and Wellness LLC

  • Physical Therapy Clinic/Center
  • Secaucus, NJ
  • NPI 1083328702
  NPD Authorized official

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1073254611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PIKEVIEW TER",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943819",
            "telephone_number": "201-912-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WHITESTONE PHYSICAL THERAPY OF QUEENS, PC",
            "address_2": "150-12, LOWER LEVEL -1, 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "11357",
            "telephone_number": "718-746-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAR",
        "first_name": "PREMSHANKAR",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "045944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon E Murphy, MA, CF-SLP
• Ava R Murray
• McKayla Murray
• Jonathan Musheyev
• Maryam Mushtaq
• Amanda Nicole Naranjo
• Neeta Narula
• Sophia Natsis
• Natalie Marie Negron
• Samantha Negron

• Physical Therapist in Whitestone, NY
• Providers in Whitestone, 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 Apr 6, 2022; 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.