Divyeshkumar Patel, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049489 Issued in NY

Practice address

265 Beach 20TH St
Far Rockaway, NY 11691-3625

Phone

(718) 337-7878

NPI assigned

Feb 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theradynamics Rehab PT, OT and SLP, PLLCGroup PAC ID 4082045802, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Theradynamics Rehab. PT, OT & SLP, PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1912463399

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1134826134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 NELSON AVE FL 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073929",
            "telephone_number": "201-744-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913625",
            "telephone_number": "718-337-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIVYESHKUMAR",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Siapno Park, M.D.
• Joanna Danielle Parker, LPN
• Parkway Preventive Medical Care PLLC
• Zayne Pascoe Beckford, LMHC
• Anand Patel, PHARMD
• Donali Patel, MD
• Komalben Sureshkumar Patel
• Pravinkumar A Patel, RPH
• Roda K Patel, M.D.
• Shashi Patel, MD

• Physical Therapist in Far Rockaway, NY
• Providers in Far Rockaway, 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 Feb 9, 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.