Individual provider Active NPI

Khanjanben Saureen Patel

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1124678776
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044941 Issued in NY
Practice address
3163 Bainbridge Ave
Bronx, NY 10467-3907
Phone
(914) 294-0080
Fax
(914) 294-0079
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 044941 NY Primary

Addresses

Primary practice location

3163 Bainbridge Ave
Bronx, NY 10467-3907

Mailing address

1254 Central Park Ave Ste 3
Yonkers, NY 10704-1059
Phone (914) 294-0080

Other practice location 1

1254 Central Park Ave Ste 3
Yonkers, NY 10704-1059
Phone (914) 294-0080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200706000676 NY Practitioner - Physical Therapist in Private Practice 3577986892 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
Therapycare PT Services PLLCGroup PAC ID 1850611591, 9 clinicians
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

837 Washington Ave
Suite 1B
Bronx, NY 10451-4842
Phone (914) 294-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044941NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Mar 9, 2026 Accepting new patients
Frist Choice Health Corp CurrentSince Apr 6, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Mar 9, 2026 Accepting new patients

Locations

961 E 174th St
Ste 42
Bronx, NY 10460
Phone (914) 234-8541

312 E 204th St
Bronx, NY 10467
Phone (914) 234-8534

3163 Bainbridge Ave
Bronx, NY 10467
Phone (347) 587-5333

4446 Broadway
New York, NY 10040
Phone (212) 567-6000

1254 Central Park Ave
Ste 3
Yonkers, NY 10704
Phone (914) 234-8530

1019 Yonkers Ave
Yonkers, NY 10704
Phone (612) 644-9447

Organizations & group practices 4

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1124678776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 CENTRAL PARK AVE STE 3",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041059",
            "telephone_number": "914-294-0080",
            "fax_number": "914-294-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673907",
            "telephone_number": "914-294-0080",
            "fax_number": "914-294-0079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1254 Central Park Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107041059",
            "country_code": "US",
            "telephone_number": "914-294-0080",
            "fax_number": "914-294-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHANJANBEN",
        "middle_name": "SAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.