Active NPI
Dhara Patel, PT
- Physical Therapist
- Oyster Bay, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045246
- Practice address
- 150 South St # 2244
Oyster Bay, NY 11771-2244 - Phone
- (516) 624-0600
- NPI assigned
- May 19, 2022
- 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 | 045246 | NY | Primary |
Addresses
Primary practice location
150 South St # 2244
Oyster Bay, NY 11771-2244
Mailing address
1105 E County Line Rd
Lakewood, NJ 08701-2122
Phone (732) 399-9700
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 S St
Oyster Bay, NY 11771-2244
Phone (718) 709-0940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045246 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Medical PC | Single Specialty | Current | Accepting new patients |
| Peyman Younesi MD PLLC | Single Specialty | Current | Accepting new patients |
| 5 Boro Podiatry PC | Single Specialty | Past | Accepting new patients |
Locations
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
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.
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Staten Island, NY
- NPI 1912596271
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1215674304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 E COUNTY LINE RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012122",
"telephone_number": "732-399-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SOUTH ST # 2244",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712244",
"telephone_number": "516-624-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHARA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "045246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.