Individual provider Active NPI

Sama Khedgikar, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1326770850
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045873-01 Issued in NY
Practice address
827 11TH Ave
New York, NY 10019-3535
Phone
(212) 257-9778
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 045873-01 NY Primary

Addresses

Primary practice location

827 11TH Ave
New York, NY 10019-3535

Mailing address

320 E 93Rd St Apt 1B
New York, NY 10128-5532
Phone (909) 704-4343

Other practice location 1

35 E 35th St Rm 206A
New York, NY 10016-3823
Phone (231) 564-6389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018002623 NY Practitioner - Physical Therapist in Private Practice 5294101119 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045873-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Krasilovsky Ny PT PLLC Physical Therapist CurrentSince Feb 21, 2023 Accepting new patients
First Class Physical Therapy, P.C. Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Jun 28, 2022 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

991 US Highway 22
Ste 200
Bridgewater, NJ 08807
Phone (908) 528-0979

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

111 N 7th St
Brooklyn, NY 11249
Phone (718) 384-4002

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

80 N 3rd St
Brooklyn, NY 11249
Phone (347) 915-0791

35 E 35th St
Rm 206
New York, NY 10016
Phone (212) 213-0288

827 11th Ave
New York, NY 10019
Phone (212) 257-9778

225 Broadway
Ste 3040
New York, NY 10007
Phone (917) 409-5551

35 E 35th St
Rm 206A
New York, NY 10016
Phone (212) 213-0288

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1326770850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 93RD ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285532",
            "telephone_number": "909-704-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 11TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193535",
            "telephone_number": "212-257-9778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 E 35th St Rm 206A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163823",
            "country_code": "US",
            "telephone_number": "231-564-6389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHEDGIKAR",
        "first_name": "SAMA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045873-01",
            "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 Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.