Individual provider Active NPI

Kajal Jani, PT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1386965275
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030578 Issued in NY
Practice address
4343 Kissena Blvd
Suite No 110
Flushing, NY 11355-2950
Phone
(718) 661-1710
Fax
(718) 886-6414
NPI assigned
Jun 15, 2010
Last updated
Jun 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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 030578 NY Primary

Addresses

Primary practice location

4343 Kissena Blvd
Suite No 110
Flushing, NY 11355-2950

Mailing address

4343 Kissena Blvd
Suite No 110
Flushing, NY 11355-2950
Phone (718) 661-1710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100918000279 NY Practitioner - Physical Therapist in Private Practice 6305961913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy Services PCGroup PAC ID 2961390026, 6 clinicians

Practice addresses (Care Compare)

4343 Kissena Blvd
Suite 110
Flushing, NY 11355-2914
Phone (718) 661-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In-Motion Physical Therapy, P.C. CurrentSince Jul 14, 2021 Accepting new patients
Dynamic Physical Therapy Services PC Physical Therapist CurrentSince Jun 21, 2010 Accepting new patients
In-Motion Physical Therapy PC CurrentSince Jul 14, 2021 Accepting new patients
Soni Care Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

4343 Kissena Blvd
Ste 110
Flushing, NY 11355
Phone (718) 463-1515

924 N Broadway
Massapequa, NY 11758
Phone (516) 520-5507

Organizations & group practices 4

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1386965275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD",
            "address_2": "SUITE NO 110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552950",
            "telephone_number": "718-661-1710",
            "fax_number": "718-886-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD",
            "address_2": "SUITE NO 110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552950",
            "telephone_number": "718-661-1710",
            "fax_number": "718-886-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANI",
        "first_name": "KAJAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030578",
            "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 15, 2010; 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.