Individual provider Active NPI

Anand K Bishnoi, DPT

  • Physical Therapist
  • Rocky Hill, CT
National Provider Identifier
1124218862
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004389 Issued in CT
Practice address
825 Cromwell Ave
Ste Q
Rocky Hill, CT 06067-3013
Phone
(860) 257-3779
Fax
(860) 257-3780
NPI assigned
Jul 30, 2007
Last updated
Mar 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 004389 CT Primary

Addresses

Primary practice location

825 Cromwell Ave
Ste Q
Rocky Hill, CT 06067-3013

Mailing address

825 Cromwell Ave
Ste Q
Rocky Hill, CT 06067-3013
Phone (860) 257-3779

Other identifiers 3

IdentifierTypeStateIssuer
080004389CT24OtherCTBCBS, BCFP, MEDIBLUE BCBS
004167161MedicaidCT
060916784004OtherCTTRICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000512 CT Practitioner - Physical Therapist in Private Practice 3577657790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

825 Cromwell Ave
Suite Q
Rocky Hill, CT 06067-3013
Phone (860) 257-3779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4389CTMDProfessional Counselor
004389CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients

Locations

825 Cromwell Ave
Ste Q
Rocky Hill, CT 06067
Phone (860) 257-3779

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1124218862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CROMWELL AVE",
            "address_2": "STE Q",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673013",
            "telephone_number": "860-257-3779",
            "fax_number": "860-257-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CROMWELL AVE",
            "address_2": "STE Q",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673013",
            "telephone_number": "860-257-3779",
            "fax_number": "860-257-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHNOI",
        "first_name": "ANAND",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, BCFP, MEDIBLUE BCBS",
            "identifier": "080004389CT24",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004167161",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "060916784004",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.