Individual provider Active NPI

Vrushali Mahesh Desai

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1285213256
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3175 Saint Rose Pkwy Ste 331
Henderson, NV 89052-3508
Phone
(702) 474-7212
Fax
(702) 474-7458
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 047051 NY
Physical Therapist 225100000X NV Primary

Addresses

Primary practice location

3175 Saint Rose Pkwy Ste 331
Henderson, NV 89052-3508

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1835 Richmond Rd
Staten Island, NY 10306-2560
Phone (718) 502-5271

Other practice location 2

1835 Richmond Rd
Staten Island, NY 10306-2560
Phone (718) 502-5271

Other identifiers 1

IdentifierTypeStateIssuer
047051OtherNYPHYSICAL THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL webPT Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220120001226 NY Practitioner - Physical Therapist in Private Practice 2668864851 Reassigns benefits to 1 organization
I20240730002799 NV Practitioner - Physical Therapist in Private Practice 2668864851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

3175 Saint Rose Pkwy
Suite 331
Henderson, NV 89052-3508
Phone (702) 474-7212

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

Merit-based Incentive Payment System (MIPS)

Final score
74.34 of 100Reported as group
Quality
59.43
Improvement activities
40
Cost
72.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047051NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation, LLC CurrentSince Jul 1, 2024 Accepting new patients
14 Street Medical, PC CurrentSince May 1, 2022 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3175 Saint Rose Pkwy
Ste 331
Henderson, NV 89052
Phone (702) 314-4604

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

Networks

  • UT PPO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vrushali.desai.1@13555.direct.athenahealth.com

Organizations & group practices 3

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1285213256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY STE 331",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523508",
            "telephone_number": "702-474-7212",
            "fax_number": "702-474-7458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103062560",
            "country_code": "US",
            "telephone_number": "718-502-5271",
            "fax_number": "718-701-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103062560",
            "country_code": "US",
            "telephone_number": "718-502-5271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "VRUSHALI",
        "middle_name": "MAHESH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "047051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "047051",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "webPT",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1835 Richmond Rd",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103062560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.