Individual provider Active NPI

Shraddhali Ravindra Sawant, MS PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1255987236
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044133 Issued in NY
Practice address
460 Grand St
New York, NY 10002-4058
Phone
(212) 539-0257
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 044133 NY Primary

Addresses

Primary practice location

460 Grand St
New York, NY 10002-4058

Mailing address

50 Court St Ste 1210
Brooklyn, NY 11201-4867
Phone (312) 647-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106000284 NY Practitioner - Physical Therapist in Private Practice 1153653498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

132 W 96TH St
Suite 1a
New York, NY 10025-6418
Phone (212) 249-2758

2162 Broadway
FL 2
New York, NY 10024-6620
Phone (212) 362-3595

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
044133NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Profitness Physical Therapy PC Physical Therapist CurrentSince Oct 5, 2019 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Feb 3, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Feb 3, 2024 Accepting new patients
Profitness Physical Therapy Past Accepting new patients

Locations

50 Court St
Ste 1210
Brooklyn, NY 11201
Phone (718) 858-6546

3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816

2162 Broadway
Frnt 2
New York, NY 10024
Phone (212) 362-3595

171 E 84th St
Fl 2
New York, NY 10028
Phone (212) 327-0600

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

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.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1255987236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COURT ST STE 1210",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014867",
            "telephone_number": "312-647-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024058",
            "telephone_number": "212-539-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWANT",
        "first_name": "SHRADDHALI",
        "middle_name": "RAVINDRA",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044133",
            "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 Sep 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.

Verify at the official NPI Registry.