Individual provider Active NPI

Deepika Kothandaraman, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1235904806
Registry record updated Nov 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051554 Issued in NY
Practice address
35 E 35TH St RM 206
New York, NY 10016-3823
Phone
(231) 564-6389
NPI assigned
Nov 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2023

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 051554 NY Primary

Addresses

Primary practice location

35 E 35TH St RM 206
New York, NY 10016-3823

Mailing address

35 E 35TH St RM 206
New York, NY 10016-3823
Phone (904) 942-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231207000243 NY Practitioner - Physical Therapist in Private Practice 6204285943 Reassigns benefits to 2 organizations
I20251129000180 FL Practitioner - Physical Therapist in Private Practice 6204285943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians

Practice addresses (Care Compare)

Orlando, FL 32801
Phone (212) 287-4257

138 5TH Ave
FL 2
New York, NY 10011-4367
Phone (212) 287-4257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051554NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Krasilovsky Ny PT PLLC Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients

Locations

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

991 US Highway 22
Ste 200
Bridgewater, NJ 08807
Phone (908) 528-0979

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

35 E 35th St
Rm 206
New York, NY 10016
Phone (212) 213-0288

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700697600000",
    "number": "1235904806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 35TH ST RM 206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163823",
            "telephone_number": "904-942-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 35TH ST RM 206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163823",
            "telephone_number": "231-564-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHANDARAMAN",
        "first_name": "DEEPIKA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-23",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; 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.