Khushbu Vijaykumar Modi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299276 Issued in CA

Practice address

2474 Wilson Ter
Union, NJ 07083-6543

Phone

(551) 263-6141

NPI assigned

Feb 26, 2019

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Hills Orthopedic and Sports Physical Therapy IncGroup PAC ID 1052437209, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Golden Hills Orthopedic and Sports Physical Therapy Inc.

  • Physical Therapist
  • San Jose, CA
  • NPI 1083786230
  Medicare reassignment Care Compare group NPD
• Golden Hills Orthopedic and Sports Physical Therapy Inc.

  • Physical Therapist
  • Milpitas, CA
  • NPI 1750040895
  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1417414418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S WHITE RD",
            "address_2": "STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482079",
            "telephone_number": "408-274-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 WILSON TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836543",
            "telephone_number": "551-263-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "KHUSHBU",
        "middle_name": "VIJAYKUMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299276",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044115-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Miranda, APN
• Bhaveek Mistry, PHARMD.
• Mitchell S Turner MD PA
• MMR Behavioral & Mental Health Counseling LLC
• Mobit2 Care Services LLC
• Jemimah Karen Moise, PT, DPT
• Melissa Monestime
• Christela Monfleury
• Tanya Monique Monroe, PMHNP
• Kathleen Anne Montanez

• Physical Therapist in Union, NJ
• Providers in Union, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.