Individual provider Active NPI

Brinda Makadia, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1386213585
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046179-01 Issued in NY
Practice address
1720 E 14TH St Ste M1
Brooklyn, NY 11229-2088
Phone
(347) 338-0036
Fax
(718) 375-0063
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 046179-01 NY Primary

Addresses

Primary practice location

1720 E 14TH St Ste M1
Brooklyn, NY 11229-2088

Mailing address

2854 John F Kennedy Blvd Apt 1214
Jersey City, NJ 07306-4020
Phone (551) 358-4928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624002868 NY Practitioner - Physical Therapist in Private Practice 1557762713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

824 54TH St
BSMT
Brooklyn, NY 11220-3208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046179NYMDPharmacist
046179-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcare Acupuncture P.C. CurrentSince Oct 26, 2024 Accepting new patients
Human Body in Motion PT PC Physical Therapist PastSince Sep 17, 2023 Accepting new patients

Locations

8 Chatham Sq
Rm 707
New York, NY 10038
Phone (212) 962-0711

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1386213585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 JOHN F KENNEDY BLVD APT 1214",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064020",
            "telephone_number": "551-358-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E 14TH ST STE M1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292088",
            "telephone_number": "347-338-0036",
            "fax_number": "718-375-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKADIA",
        "first_name": "BRINDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046179-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.