Active NPI
Kavya Kshitij Mehta
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043718
- Practice address
- 30 Wall St Ste 500
New York, NY 10005-2206 - Phone
- (646) 886-8687
- Fax
- (212) 656-1091
- NPI assigned
- Feb 13, 2020
- 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 | 043718 | NY | Primary |
Addresses
Primary practice location
30 Wall St Ste 500
New York, NY 10005-2206
Mailing address
1 New York PLZ
Concourse Level, Suite L
New York, NY 10004-1901
Phone (646) 886-8687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9514 4TH St NE
Unit 101
Lake Stevens, WA 98258-1937
Phone (425) 397-2327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043718 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| New York Plaza Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310
1 New York Plz
New York, NY 10004
Phone (646) 918-6883
1 New York Plz
Ste L
New York, NY 10004
Phone (212) 256-1171
3710 168th St NE
Ste A102
Arlington, WA 98223
Phone (360) 226-5151
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327
3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621
17223 Avondale Way NE
Redmond, WA 98052
Phone (425) 403-0232
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Physical Therapist
-
- Physical Therapist
- New York, NY
- NPI 1558907741
-
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
- Physical Therapist
- Everett, WA
- NPI 1760374771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1265065692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NEW YORK PLZ",
"address_2": "CONCOURSE LEVEL, SUITE L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100041901",
"telephone_number": "646-886-8687",
"fax_number": "212-656-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WALL ST STE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052206",
"telephone_number": "646-886-8687",
"fax_number": "212-656-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "KAVYA",
"middle_name": "KSHITIJ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043718",
"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 28, 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.