Individual provider Active NPI

Prashant Latpate

  • Physical Therapist
  • Yonkers, NY
National Provider Identifier
1104163385
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035930 Issued in NY
Practice address
970 N Broadway Ste 310
Yonkers, NY 10701
Phone
(914) 207-1161
Fax
(914) 207-1162
NPI assigned
Jan 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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 035930 NY Primary

Addresses

Primary practice location

970 N Broadway Ste 310
Yonkers, NY 10701

Mailing address

970 N Broadway Ste 310
Yonkers, NY 10701-1311
Phone (914) 207-1161

Other practice location 1

23 Robert Pitt Dr
suite 110
Monsey, NY 10952-3373
Phone (845) 625-2810

Other practice location 2

11 Hedgerow Ln
Manalapan, NJ 07726-7905
Phone (347) 462-4876

Other identifiers 1

IdentifierTypeStateIssuer
03584049MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130411000391 NY Practitioner - Physical Therapist in Private Practice 9830335173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Spinal Pain and Rehab Medical PCGroup PAC ID 3375600109, 5 clinicians

Practice addresses (Care Compare)

970 N Broadway
Suite 310
Yonkers, NY 10701-1311
Phone (914) 207-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Pain & Rehab Medical, P.C. CurrentSince Feb 18, 2021 Accepting new patients
First Class Physical Therapy, P.C. Physical Therapist CurrentSince Feb 12, 2018 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Locations

111 N 7th St
Brooklyn, NY 11249
Phone (718) 384-4002

3514 Mermaid Ave
Ste 3
Brooklyn, NY 11224
Phone (718) 496-8755

333 E 34th St
Rm 1E
New York, NY 10016
Phone (212) 651-4380

970 N Broadway
Ste 310
Yonkers, NY 10701
Phone (914) 207-1161

970 N Broadway
Ste 305B
Yonkers, NY 10701
Phone (914) 207-1161

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": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1104163385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY STE 310",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011311",
            "telephone_number": "914-207-1161",
            "fax_number": "914-207-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY STE 310",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-207-1161",
            "fax_number": "914-207-1162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Robert Pitt Dr",
            "address_2": "suite 110",
            "address_purpose": "LOCATION",
            "city": "Monsey",
            "state": "NY",
            "postal_code": "109523373",
            "country_code": "US",
            "telephone_number": "845-625-2810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Hedgerow Ln",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077267905",
            "country_code": "US",
            "telephone_number": "347-462-4876",
            "fax_number": "347-435-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATPATE",
        "first_name": "PRASHANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03584049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.