Active NPI
Dipikaben Mistry, PT
- Physical Therapist
- Scarsdale, NY
National Provider Identifier
1376672451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0131871
- Practice address
- 455 Central Park Ave
Scarsdale, NY 10583-1060 - Phone
- (914) 907-3889
- Fax
- (914) 725-4260
- NPI assigned
- Mar 5, 2007
- Last updated
- Oct 11, 2013
- 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 | 0131871 | NY | Primary |
Addresses
Primary practice location
455 Central Park Ave
Scarsdale, NY 10583-1060
Mailing address
230 Glendale Rd
Scarsdale, NY 10583-1534
Phone (914) 907-3889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q24M81 | Other | EMPIRE BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131871 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1376672451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 GLENDALE RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105831534",
"telephone_number": "914-907-3889",
"fax_number": "914-725-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 CENTRAL PARK AVE",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105831060",
"telephone_number": "914-907-3889",
"fax_number": "914-725-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "DIPIKABEN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0131871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "Q24M81",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.