Active NPI
Ahmed A Keshwani, PTA
- Physical Therapy Assistant
- Flushing, NY
National Provider Identifier
1376103465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 006953
- Practice address
- 11126 Corona Ave
Flushing, NY 11368-4027 - Phone
- (718) 592-6400
- NPI assigned
- Jun 19, 2019
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 006953 | NY | Primary |
Addresses
Primary practice location
11126 Corona Ave
Flushing, NY 11368-4027
Mailing address
8605 60TH Rd Apt 6H
Elmhurst, NY 11373-5518
Phone (917) 943-4287
Other practice location 1
11126 Corona Ave
Flushing, NY 11368-4027
Phone (718) 592-6400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006953 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1376103465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 60TH RD APT 6H",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735518",
"telephone_number": "917-943-4287",
"fax_number": "718-459-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11126 CORONA AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113684027",
"telephone_number": "718-592-6400"
}
],
"practiceLocations": [
{
"address_1": "11126 Corona Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113684027",
"country_code": "US",
"telephone_number": "718-592-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESHWANI",
"first_name": "AHMED",
"middle_name": "A",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "006953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.