Individual provider Active NPI

Parshav Desai, DPT

  • Physical Therapist
  • Hicksville, NY
National Provider Identifier
1093264939
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040887 Issued in NY
Practice address
16 Gardenia LN
Hicksville, NY 11801-2009
Phone
(917) 386-3434
NPI assigned
Oct 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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 040887 NY Primary

Addresses

Primary practice location

16 Gardenia LN
Hicksville, NY 11801-2009

Mailing address

221 Lincoln Ave
Elmwood Park, NJ 07407-2822
Phone (201) 663-2865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170421000365 NJ Practitioner - Physical Therapist in Private Practice 7810273174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

50 Main St
Unit D
Hackensack, NJ 07601-7047
Phone (551) 244-1113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040887NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Medical Centers Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients

Locations

784 Franklin Ave
Ste 230
Franklin Lks, NJ 07417
Phone (201) 891-0090

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

205 Robin Rd
Ste 118
Paramus, NJ 07652
Phone (201) 225-1511

82 Totowa Rd
Wayne, NJ 07470
Phone (201) 225-1511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1093264939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LINCOLN AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072822",
            "telephone_number": "201-663-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GARDENIA LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012009",
            "telephone_number": "917-386-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PARSHAV",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.