NPIMap

Individual provider Active NPI

Ramak Bakhshoudeh, P.T.

  • Physical Therapist
  • Hauppauge, NY
National Provider Identifier
1457575201
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015236-1 Issued in NY
Practice address
120 Plant Ave
Hauppauge, NY 11788-3805
Phone
(631) 273-1300
Fax
(631) 851-3865
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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 015236-1 NY Primary

Addresses

Primary practice location

120 Plant Ave
Hauppauge, NY 11788-3805

Mailing address

120 Plant Ave
Hauppauge, NY 11788-3805
Phone (631) 273-1300

Other identifiers 3

IdentifierTypeStateIssuer
6698072OtherNYGHI
141864POtherNYHIP
Q03D51OtherNYBCBS

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

LicenseStateTypeSpecialty
015236-1NYMDPhysical Therapist

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
VA Dentistry PC Past Accepting new patients
Mid-Nassau PT Physical Therapist Past Accepting new patients
Robert Rothstein, MD PC Past Accepting new patients
Skills Unlimited, Inc. Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1457575201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PLANT AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883805",
            "telephone_number": "631-273-1300",
            "fax_number": "631-851-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PLANT AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883805",
            "telephone_number": "631-273-1300",
            "fax_number": "631-851-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHSHOUDEH",
        "first_name": "RAMAK",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015236-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6698072",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "141864P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q03D51",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.