Individual provider Active NPI

Vrushank Maheshbhai Patel, PHYSICAL THERAPIST

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1366903122
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044184 Issued in NY
Practice address
1500 Astor Ave Ste 2B
Bronx, NY 10469-5900
Phone
(347) 843-7070
NPI assigned
Mar 26, 2019
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 044184 NY Primary

Addresses

Primary practice location

1500 Astor Ave Ste 2B
Bronx, NY 10469-5900

Mailing address

68 Bevan St Apt 6
Jersey City, NJ 07306-3528
Phone (201) 850-2742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120003315 NY Practitioner - Physical Therapist in Private Practice 5991119638 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avalon Medical Center, LLCGroup PAC ID 2769827179, 12 clinicians
Nova Rehab PT OT PLLCGroup PAC ID 5395244685, 17 clinicians

Practice addresses (Care Compare)

121 Executive Dr
Suite 200
New Windsor, NY 12553-5544
Phone (845) 407-0770

4 W Main St
Cambridge, NY 12816-1131
Phone (347) 631-6150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Medical Center, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Aug 15, 2025 Accepting new patients
Nova Rehab PT OT PLLC Physical Therapist CurrentSince Sep 5, 2025 Accepting new patients

Locations

4 W Main St
Cambridge, NY 12816
Phone (347) 631-6150

121 Executive Dr
Ste 200
New Windsor, NY 12553
Phone (845) 407-0770

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

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, 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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1366903122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BEVAN ST APT 6",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063528",
            "telephone_number": "201-850-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ASTOR AVE STE 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695900",
            "telephone_number": "347-843-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VRUSHANK",
        "middle_name": "MAHESHBHAI",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.