Individual provider Active NPI

Keny Nimesh Desai, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1093472391
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04675-01 Issued in NY
Practice address
2475 Eastchester Rd
Bronx, NY 10469-5915
Phone
(718) 882-5314
NPI assigned
Nov 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 04675-01 NY Primary

Addresses

Primary practice location

2475 Eastchester Rd
Bronx, NY 10469-5915

Mailing address

139 Chestnut Ave Apt 1
Jersey City, NJ 07306-1375
Phone (030) 140-1570

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bronx@imcbonedoc.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509001395 NY Practitioner - Physical Therapist in Private Practice 0143607333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Musculoskeletal Care MD PCGroup PAC ID 9537058573, 14 clinicians

Practice addresses (Care Compare)

125 Franklin Ave
203 Island Musculoskeletal Care MD PC
Hewlett, NY 11557-1429

2475 Eastchester Rd
Bronx, NY 10469-5915
Phone (718) 882-5314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04675-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Musculoskeletal Care, M.D., P.C. Physical Medicine & Rehabilitation CurrentSince May 15, 2022 Accepting new patients
Island Musculoskeletal Care MD PC Physical Medicine & Rehabilitation Current Accepting new patients
Island Musculoskeletal Care MD PC Physical Medicine & Rehabilitation CurrentSince May 15, 2022 Accepting new patients

Locations

2475 Eastchester Rd
Bronx, NY 10469
Phone (718) 547-8967

1512 Broadway
Hewlett, NY 11557
Phone (516) 374-6838

10825 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 849-2321

Organizations & group practices 3

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": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1093472391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CHESTNUT AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061375",
            "telephone_number": "030-140-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695915",
            "telephone_number": "718-882-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KENY",
        "middle_name": "NIMESH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-21",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04675-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bronx@imcbonedoc.net",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2475 Eastchester Rd",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104695915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.