Individual provider Active NPI

Ishita Vijay Kamat

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1265296800
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04992101 Issued in NY
Practice address
1441 South Ave
Staten Island, NY 10314-3779
Phone
(516) 614-5650
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 04992101 NY Primary

Addresses

Primary practice location

1441 South Ave
Staten Island, NY 10314-3779

Mailing address

1003 36TH Ave
Astoria, NY 11106-5021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240223002613 NY Practitioner - Physical Therapist in Private Practice 2961847470 Reassigns benefits to 1 organization
I20250925001296 WA Practitioner - Physical Therapist in Private Practice 2961847470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Rehabilitation Associates PLLCGroup PAC ID 2567375728, 16 clinicians
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Practice addresses (Care Compare)

12121 Harbour Reach Dr
Suite 100
Mukilteo, WA 98275-5314
Phone (425) 493-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049921NYMDPharmacist
04992101NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist Current Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Summit Rehabilitation PLLC CurrentSince Jul 7, 2025 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Feb 19, 2024 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

9920 4th Ave
Ste 103
Brooklyn, NY 11209
Phone (718) 238-9873

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

9020 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

1441 South Ave
Ste 704
Staten Island, NY 10314
Phone (718) 303-9777

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

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

Organizations & group practices 8

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1265296800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 36TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111065021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SOUTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143779",
            "telephone_number": "516-614-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAT",
        "first_name": "ISHITA",
        "middle_name": "VIJAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04992101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.