Active NPI
Sama Khedgikar, DPT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045873-01
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045873-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krasilovsky Ny PT PLLC | Physical Therapist | Current | Accepting new patients |
| First Class Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Century Medical & Dental Center Inc | Current | 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.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Physical Therapist
- Brooklyn, NY
- NPI 1376630905
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
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.