Active NPI
Viveki Pandya, PT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1215507579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047277
- Practice address
- 684 W Fingerboard Rd
Staten Island, NY 10305-2630 - Phone
- (718) 442-1003
- NPI assigned
- Jun 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 047277 | NY | Primary |
Addresses
Primary practice location
684 W Fingerboard Rd
Staten Island, NY 10305-2630
Mailing address
1132 Morning Glory Dr
Monroe TWP, NJ 08831-5350
Phone (609) 937-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 Victory Blvd
Staten Island, NY 10301-3623
Phone (718) 442-1003
684 W Fingerboard Rd
Staten Island, NY 10305-2630
Phone (718) 442-1003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grasmere Physical Therapy and Rehabilitation, PLLC | Current | Accepting new patients | |
| Grasmere Physical Therapy Wellness, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1130 Victory Blvd
Staten Island, NY 10301
Phone (718) 442-1003
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.
-
- Physical Therapy Clinic/Center
- Staten Island, NY
- NPI 1790188316
-
- Physical Therapy Clinic/Center
- Staten Island, NY
- NPI 1306643598
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1215507579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 MORNING GLORY DR",
"city": "MONROE TWP",
"state": "NJ",
"postal_code": "088315350",
"telephone_number": "609-937-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "684 W FINGERBOARD RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052630",
"telephone_number": "718-442-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDYA",
"first_name": "VIVEKI",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047277",
"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 Jul 5, 2021; 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.