Derek Joseph Dathe, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047020 Issued in NY

Practice address

134 W 26TH St RM 1200
New York, NY 10001-6863

Phone

(212) 255-8080

Fax

(212) 974-7228

NPI assigned

Aug 15, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cynergy Physical Therapy, P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1871781237
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1124674155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W 26TH ST RM 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016863",
            "telephone_number": "212-255-8080",
            "fax_number": "212-974-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W 26TH ST RM 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016863",
            "telephone_number": "212-255-8080",
            "fax_number": "212-974-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATHE",
        "first_name": "DEREK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyeeta G Dastidar, MD
• Helodia Dastine, LCSW
• Shana Dastur, L.C.S.W.
• Chandini Daswani, N.P
• Anjali Acharya Date, MD
• Isaac Datikashvili, DMD
• Ellen Datner, PSY.D.
• Danielle Datre
• Moushumi Shoma Datta-Thomas, MD
• Aakriti Datta, MBBS

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.