Individual provider Active NPI

Khushbu Dharna Anushil Mehta, PT. CAS

  • Physical Therapist
  • Bellerose, NY
National Provider Identifier
1144649666
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035910 Issued in NY
Practice address
252-08 Hillside Ave
Bellerose, NY 11246
Phone
(516) 428-9686
NPI assigned
Apr 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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 035910 NY Primary

Addresses

Primary practice location

252-08 Hillside Ave
Bellerose, NY 11246

Mailing address

252-08 Hillside Ave
Bellerose, NY 11246
Phone (516) 428-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035910NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New York Physical Therapy and Chiropractic PLLC Physical Therapist CurrentSince Jun 27, 2016 Accepting new patients
R.G. Medical, PC PastSince Jun 27, 2016 Accepting new patients

Locations

741 E 233rd St
Bronx, NY 10466
Phone (718) 405-0205

2444 Walton Ave
Bronx, NY 10468
Phone (718) 220-8293

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

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": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1144649666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252-08 HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "11246",
            "telephone_number": "516-428-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252-08 HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "11246",
            "telephone_number": "516-428-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KHUSHBU",
        "middle_name": "DHARNA ANUSHIL",
        "name_prefix": "Dr.",
        "credential": "PT. CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.