Individual provider Active NPI

May Fatima C Dadula, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1073741062
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031481 Issued in NY
Practice address
85 Eldridge St
New York, NY 10002-5239
Phone
(917) 767-8868
NPI assigned
Jun 29, 2009
Last updated
Jun 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031481 NY Primary

Addresses

Primary practice location

85 Eldridge St
New York, NY 10002-5239

Mailing address

85 Eldridge St
New York, NY 10002-5239
Phone (917) 767-8868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219002401 NY Practitioner - Physical Therapist in Private Practice 6901959626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031481NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Z &V Management Corp Current Accepting new patients
Flex Fit Physical Therapy PC Physical Therapist CurrentSince Dec 20, 2024 Accepting new patients
Point Care Physical Therapy P C Current Accepting new patients
Well Being PT and Acupuncture PLLC Physical Therapist Past Accepting new patients
Welling Physical Therapy and Acupuncture PLLC Physical Therapist Past Accepting new patients
Excelife Physical Therapy P.C. Physical Therapist Past Accepting new patients

Locations

8716 Queens Blvd
#1
Elmhurst, NY 11373
Phone (917) 396-4343

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1073741062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ELDRIDGE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025239",
            "telephone_number": "917-767-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 ELDRIDGE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025239",
            "telephone_number": "917-767-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADULA",
        "first_name": "MAY",
        "middle_name": "FATIMA C",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.