Forum Sauhta, P.T.
Individual provider Active NPI Physical Therapist · Richmond Hill, NY
NPI 1114294121 · NPPES record last updated Oct 30, 2014
Key facts
- NPI
- 1114294121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 033785-1 (NY)
- Practice address
- 11311 Jamaica Ave
Richmond Hill, NY 11418-2476 - Phone
- (718) 850-6577
- Fax
- (718) 850-6581
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kanwarpaul S Grewal Medical PLLC
Practice addresses (Care Compare)
30 Merrick Ave
Suite 103
East Meadow, NY 11554-1580
Phone (516) 743-9450
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111220000301 | NY | Practitioner - Physical Therapist in Private Practice | 4880860980 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033785-1 | NY | MD | Physical Therapist |
| 033785 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanwarpaul S. Grewal Medical PLLC | Current |
Accepting new patients | |
| Island Musculoskeletal Care MD PC | Physical Therapist | Current |
Accepting new patients |
| 24 7 Ny Medical Health Provider PC | Current |
Accepting new patients | |
| Island Musculoskeletal Care MD PC | Physical Therapist | Current |
Accepting new patients |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
2475 Eastchester Rd
Bronx, NY 10469
Phone (718) 547-8967
30 Merrick Ave
Ste 103
East Meadow, NY 11554
Phone (516) 743-9450
30 Merrick Ave
Ste 101
East Meadow, NY 11554
Phone (516) 743-9450
1512 Broadway
Hewlett, NY 11557
Phone (516) 374-6838
10825 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 849-2321
125 Franklin Ave
Valley Stream, NY 11580
Phone (516) 825-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033785-1 | NY | Yes |
Addresses
Primary practice location
11311 Jamaica Ave
Richmond Hill, NY 11418-2476
Mailing address
11311 Jamaica Ave
Island Musculoskeletal Care
Richmond Hill, NY 11418-2476
Phone (718) 850-6577
Other providers in Richmond Hill, NY
- Jhonalyn Ollero Santos
- Philip Saracino
- Khadiza Sarker
- Vignesh Dashagrandhi Sastri
- Satish K Chawla MD PC
- Ma Mikka Egang Sayon
- David Schechter
- Angie Scheufler
- Ridgley Jeremiah Schultz
- Elizabeth Ellie Seerattan
All providers in Richmond Hill, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.