Active NPI
Sneha Khetawat, PT
- Neurology Physical Therapist
- Oswego, NY
National Provider Identifier
1396027637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 033648-1
- Practice address
- 127 E 1St St
Oswego, NY 13126-2104 - Phone
- (315) 207-2222
- Fax
- (315) 343-6923
- NPI assigned
- Sep 13, 2011
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 033648-1 | NY | Primary |
Addresses
Primary practice location
127 E 1St St
Oswego, NY 13126-2104
Mailing address
127 E 1St St
Oswego, NY 13126-2104
Phone (315) 207-2222
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 |
|---|---|---|---|
| 033648-1 | NY | MD | Neurology Physical Therapist |
| 033648 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1396027637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 E 1ST ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262104",
"telephone_number": "315-207-2222",
"fax_number": "315-343-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E 1ST ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262104",
"telephone_number": "315-207-2222",
"fax_number": "315-343-6923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHETAWAT",
"first_name": "SNEHA",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "033648-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.