Active NPI
Deepika Kothandaraman, PT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051554
- 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
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 | 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, FL
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051554 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services of Flatiron PC | Physical Therapist | Current | Accepting new patients |
| Krasilovsky Ny PT PLLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1134705676
FL, Physical Therapist
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.