Individual provider Active NPI

Priyanka Tushar Patel I

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1396142071
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047192-01 Issued in NY
Practice address
59 33 162 Street
Flushing, NY 11365
Phone
(347) 545-6458
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 047192-01 NY Primary

Addresses

Primary practice location

59 33 162 Street
Flushing, NY 11365

Mailing address

5933 162ND St
Flushing, NY 11365-1418
Phone (347) 545-6458

Other names 1

  • Priyanka T Patel II Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721002168 NY Practitioner - Physical Therapist in Private Practice 0244633741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
City University of New York School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

147 2ND Ave
Brentwood, NY 11717-4809
Phone (631) 273-7204

612 Allerton Ave
Bronx, NY 10467-7404
Phone (718) 709-0940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047192-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC CurrentSince Dec 15, 2024 Accepting new patients
Precision PT, OT & SLP Services, PLLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Jul 1, 2024 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

685 River Ave
Lakewood, NJ 08701
Phone (732) 364-3772

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

78 Stratton St S
Yonkers, NY 10701
Phone (732) 364-3772

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1396142071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651418",
            "telephone_number": "347-545-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 33 162 STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "347-545-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANKA",
        "middle_name": "TUSHAR",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047192-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYANKA",
            "last_name": "PATEL",
            "middle_name": "T",
            "suffix": "II",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 9, 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.