Active NPI
Chirag Dalal
- Orthopedic Physical Therapist
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 10712 Queens Blvd
Forest Hills, NY 11375-4249 - Phone
- (646) 222-9640
- NPI assigned
- Jan 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | NY | ||
| Orthopedic Physical Therapist | 2251X0800X | NY | Primary |
Addresses
Primary practice location
10712 Queens Blvd
Forest Hills, NY 11375-4249
Mailing address
31 E 32ND St FL 4
New York, NY 10016-5595
Phone (212) 759-2282
Other practice location 1
5439 100th St Apt 717
Corona, NY 11368-3787
Phone (646) 744-6773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10712 Queens Blvd
Forest Hills, NY 11375-4249
Phone (646) 222-9640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046920 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spear Physical and Occupational Therapy, LLC | Single Specialty | Current | Accepting new patients |
| Siuc Medical PC | Single Specialty | Current | Accepting new patients |
| 1211 WPR Medical Services PC | Single Specialty | Current | Accepting new patients |
Locations
326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100
1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338
10712 Queens Blvd
Forest Hills, NY 11375
Phone (646) 222-9640
120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466
31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1063454577
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1417546433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 E 32ND ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165595",
"telephone_number": "212-759-2282",
"fax_number": "212-379-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10712 QUEENS BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754249",
"telephone_number": "646-222-9640"
}
],
"practiceLocations": [
{
"address_1": "5439 100th St Apt 717",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "NY",
"postal_code": "113683787",
"country_code": "US",
"telephone_number": "646-744-6773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALAL",
"first_name": "CHIRAG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-14",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.