Individual provider Active NPI

Karan Datta, PT, DPT

  • Orthopedic Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1184168544
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
041137 Issued in NY
Practice address
141 Kingsland Ave
Brooklyn, NY 11222-5102
Phone
(347) 587-9205
NPI assigned
Dec 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 041137 NY Primary

Addresses

Primary practice location

141 Kingsland Ave
Brooklyn, NY 11222-5102

Mailing address

141 Kingsland Ave
Brooklyn, NY 11222-5102
Phone (347) 587-9205

Other practice location 1

214 W 29th St
Suite Number 901
New York, NY 10001-5203
Phone (917) 338-6268

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
041137NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physio PT Nyc PC Orthopedic CurrentSince Mar 13, 2022 Accepting new patients

Organizations & group practices 1

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1184168544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 KINGSLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225102",
            "telephone_number": "347-587-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 KINGSLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225102",
            "telephone_number": "347-587-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 W 29th St",
            "address_2": "Suite Number 901",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015203",
            "country_code": "US",
            "telephone_number": "917-338-6268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DATTA",
        "first_name": "KARAN",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "041137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.