Active NPI
Shreya Rajesh Patel
- Physical Therapist
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 053533
- Practice address
- 1350 Westfall Rd
Rochester, NY 14618-2790 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Aug 9, 2024
- Reactivated
- Jan 28, 2025
- Sex
- Female
- 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 | 014357 | NY | |
| Physical Therapist | 225100000X | 053533 | NY | Primary |
Addresses
Primary practice location
1350 Westfall Rd
Rochester, NY 14618-2790
Mailing address
161 Van Wagenen Ave Apt 707
Jersey City, NJ 07306-5214
Phone (201) 969-6394
Other practice location 1
1415 Richmond Ave
Staten Island, NY 10314-1553
Phone (877) 407-3422
Other practice location 2
1844 2nd Ave
New York, NY 10128-3862
Phone (877) 407-3422
Other practice location 3
548 Howard Ave
Brooklyn, NY 11233-5016
Phone (718) 684-8700
Other practice location 4
3820 Bowne St
Flushing, NY 11354-5638
Phone (877) 407-3422
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Physical Therapy Services LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Physical Therapy Services LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Physical Therapy Services LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Physical Therapy Services LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Body in Balance Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
| Body in Balance Physical Therapy ,PC | Physical Therapist | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540
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 Therapist
- New York, NY
- NPI 1174560650
-
- Physical Therapy Clinic/Center
- Astoria, NY
- NPI 1235174384
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1447081708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 VAN WAGENEN AVE APT 707",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065214",
"telephone_number": "201-969-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 WESTFALL RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182790",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [
{
"address_1": "1415 Richmond Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103141553",
"country_code": "US",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1844 2nd Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101283862",
"country_code": "US",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "548 Howard Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112335016",
"country_code": "US",
"telephone_number": "718-684-8700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3820 Bowne St",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113545638",
"country_code": "US",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "SHREYA",
"middle_name": "RAJESH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-09",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"deactivation_date": "2025-01-16",
"reactivation_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "014357",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "053533",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Physical Therapy Services LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1415 Richmond Ave",
"city": "Staten Island",
"state": "NY",
"country_code": "US",
"postal_code": "103141553",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Physical Therapy Services LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1844 2nd Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "101283862",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Physical Therapy Services LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "3820 Bowne St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113545638",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Physical Therapy Services LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1350 Westfall Rd",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146182790",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.