Active NPI
Rutvee Jatin Mehta
- Physical Therapist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045301
- Practice address
- 475 Northern Blvd Ste 11
Great Neck, NY 11021-4802 - Phone
- (516) 829-0030
- Fax
- (516) 466-7723
- NPI assigned
- Dec 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 045301 | NY | Primary |
Addresses
Primary practice location
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Mailing address
20 Emma St
Bethpage, NY 11714-4430
Phone (516) 728-4531
Other practice location 1
20 Emma St
Bethpage, NY 11714-4430
Phone (516) 728-4531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1395 1St St
Suite 100
Gilroy, CA 95020-3876
Phone (408) 846-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045301 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Creek Fitness and Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Silver Creek Physical Therapy Gilroy | Physical Therapist | Current | Accepting new patients |
| Reddy Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Esd PT OT & SLP PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1395 1st St
Ste 100
Gilroy, CA 95020
Phone (408) 703-8582
14107 Winchester Blvd
Ste O
Los Gatos, CA 95032
Phone (408) 724-8264
5600 Mowry School Rd
Ste 305
Newark, CA 94560
Phone (510) 651-9258
121 Bernal Rd
San Jose, CA 95119
Phone (408) 227-2141
4205 San Felipe Rd
Ste 100
San Jose, CA 95135
Phone (408) 238-1552
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900
475 Northern Blvd
Ste 27
Great Neck, NY 11021
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
Organizations & group practices 4
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.
-
dba Silver Creek Physical Therapy
- Physical Therapist
- San Jose, CA
- NPI 1063510337
-
- Physical Therapist
- Brooklyn, NY
- NPI 1003383308
-
dba Silver Creek Physical Therapy
- Physical Therapist
- Gilroy, CA
- NPI 1972630838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1194363788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 EMMA ST",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117144430",
"telephone_number": "516-728-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 11",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214802",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723"
}
],
"practiceLocations": [
{
"address_1": "20 Emma St",
"address_purpose": "LOCATION",
"city": "Bethpage",
"state": "NY",
"postal_code": "117144430",
"country_code": "US",
"telephone_number": "516-728-4531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "RUTVEE",
"middle_name": "JATIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-14",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.