Individual provider Active NPI

Taral Dhumale, P.T.

  • Physical Therapist
  • Sunnyside, NY
National Provider Identifier
1356770218
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032580-1 Issued in NY
Practice address
4701 Queens Blvd
Suite 402
Sunnyside, NY 11104-1606
Phone
(718) 729-5947
Fax
(718) 729-9168
NPI assigned
Nov 1, 2013
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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 032580-1 NY Primary

Addresses

Primary practice location

4701 Queens Blvd
Suite 402
Sunnyside, NY 11104-1606

Mailing address

4701 Queens Blvd
Suite 402
Sunnyside, NY 11104-1606
Phone (718) 729-5947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
032580-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Past Accepting new patients
Excellent Choice Physical Therapy, P.C. Physical Therapist PastSince Jan 1, 2003 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1356770218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 402",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041606",
            "telephone_number": "718-729-5947",
            "fax_number": "718-729-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 402",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041606",
            "telephone_number": "718-729-5947",
            "fax_number": "718-729-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHUMALE",
        "first_name": "TARAL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032580-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.