Individual provider Active NPI

Zankhana Bhavsar, PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1184907586
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0301551-1 Issued in NY
Practice address
3377 Richmond Ave
Staten Island, NY 10312-2035
Phone
(646) 820-5669
Fax
(646) 368-8339
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 0301551-1 NY Primary

Addresses

Primary practice location

3377 Richmond Ave
Staten Island, NY 10312-2035

Mailing address

3377 Richmond Ave
Staten Island, NY 10312-2035
Phone (646) 820-5669

Other practice location 1

1785 Forest Ave
Staten Island, NY 10303-2107
Phone (646) 820-5669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171013001632 NY Practitioner - Physical Therapist in Private Practice 4284909425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Physical Therapy Services LLCGroup PAC ID 1355395179, 226 clinicians
Richmond Physical Therapy, PCGroup PAC ID 3577722727, 15 clinicians

Practice addresses (Care Compare)

1844 2ND Ave
New York, NY 10128-3862
Phone (877) 407-3422

3377 Richmond Ave
Staten Island, NY 10312-2025
Phone (646) 820-5669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0301551-1NYMDPhysical Therapist
030155NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Physical Therapy, PC Physical Therapist CurrentSince May 29, 2020 Accepting new patients
Freedom Physical Therapy, P.C. PastSince May 29, 2020 Accepting new patients

Locations

1785 Forest Ave
Staten Island, NY 10303
Phone (646) 820-5669

3377 Richmond Ave
Staten Island, NY 10312
Phone (646) 820-5669

Organizations & group practices 3

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1184907586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122035",
            "telephone_number": "646-820-5669",
            "fax_number": "646-368-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122035",
            "telephone_number": "646-820-5669",
            "fax_number": "646-368-8339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1785 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103032107",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "fax_number": "646-368-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAVSAR",
        "first_name": "ZANKHANA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0301551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.