Individual provider Active NPI

Divya Paghadal

  • Pediatric Physical Therapist
  • New York, NY
National Provider Identifier
1134825540
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
153 Bennett Ave
New York, NY 10040-4012
Phone
(866) 264-9450
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X
Sports Physical Therapist 2251S0007X
Geriatric Physical Therapist 2251G0304X
Orthopedic Physical Therapist 2251X0800X
Pediatric Physical Therapist 2251P0200X Primary

Addresses

Primary practice location

153 Bennett Ave
New York, NY 10040-4012

Mailing address

108 Paterson St
Jersey City, NJ 07307-3426
Phone (908) 476-8990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310001766 NY Practitioner - Physical Therapist in Private Practice 9234502303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comfort Care Physical Therapy Rehabilitation PCGroup PAC ID 7517371511, 2 clinicians

Practice addresses (Care Compare)

303 Brook Ave
Bronx, NY 10454-2508
Phone (347) 590-6565

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
75.36
Improvement activities
40
Cost
71.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theradynamics Rehab. PT, OT & SLP, PLLC Geriatrics CurrentSince Mar 1, 2023 Accepting new patients
Comfort Care Physical Therapy Rehabilitation PC Geriatrics CurrentSince Oct 26, 2024 Accepting new patients

Locations

57 E Mount Eden Ave
Bronx, NY 10452
Phone (347) 797-3743

303 Brook Ave
Bronx, NY 10454
Phone (347) 590-6565

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

153 Bennett Ave
New York, NY 10040
Phone (212) 928-7800

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1134825540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PATERSON ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073426",
            "telephone_number": "908-476-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BENNETT AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404012",
            "telephone_number": "866-264-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGHADAL",
        "first_name": "DIVYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.