Active NPI
Prerna Jayesh Gandhi, PT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 053118
- Practice address
- 455 86TH St,
Brooklyn, NY 11209 - Phone
- (646) 222-9510
- Fax
- (212) 404-1826
- NPI assigned
- Aug 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 053118 | NY | Primary |
Addresses
Primary practice location
455 86TH St,
Brooklyn, NY 11209
Mailing address
102 Madison Avenue, 8TH FL
New York, NY 10016-6575
Phone (212) 759-2282
Other practice location 1
7518 3rd Ave,
Brooklyn, NY 11209
Phone (646) 347-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
455 86TH St
Brooklyn, NY 11209-4707
Phone (646) 222-9510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spear Physical and Occupational Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Highline Orthopaedics | Past | Accepting new patients |
Locations
455 86th St
Brooklyn, NY 11209
Phone (646) 222-9510
7518 3rd Ave
Brooklyn, NY 11209
Phone (212) 457-0878
120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466
102 Madison Ave
Fl 8
New York, NY 10016
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1063454577
Physical Therapist
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1780408047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1114802014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MADISON AVENUE, 8TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166575",
"telephone_number": "212-759-2282",
"fax_number": "212-379-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 86TH ST,",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "646-222-9510",
"fax_number": "212-404-1826"
}
],
"practiceLocations": [
{
"address_1": "7518 3rd Ave,",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11209",
"country_code": "US",
"telephone_number": "646-347-0080",
"fax_number": "212-931-1076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDHI",
"first_name": "PRERNA",
"middle_name": "JAYESH",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "053118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.