Individual provider Active NPI

Siddhai Rajendra Gurav

  • Physical Therapist
  • New York, NY
National Provider Identifier
1467217208
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050689 Issued in NY
Practice address
3648 Broadway
New York, NY 10031-2520
Phone
(212) 281-4400
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 050689 NY Primary

Addresses

Primary practice location

3648 Broadway
New York, NY 10031-2520

Mailing address

7420 6TH Ave
Brooklyn, NY 11209-3314

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205003195 NY Practitioner - Physical Therapist in Private Practice 6507392198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands of Hope PT P.C.Group PAC ID 8022323781, 16 clinicians

Practice addresses (Care Compare)

1467 Bedford Ave
Brooklyn, NY 11216-3851
Phone (347) 218-7046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050689NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Hope PT PC Physical Therapist CurrentSince Sep 26, 2024 Accepting new patients

Locations

837 E 149th St
Bronx, NY 10455
Phone (718) 569-8662

847 Atlantic Ave
Brooklyn, NY 11238
Phone (678) 272-1829

8003 211th St
Queens Vlg, NY 11427
Phone (718) 464-8948

1432 Hylan Blvd
Staten Island, NY 10305
Phone (718) 238-6161

Organizations & group practices 1

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1467217208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312520",
            "telephone_number": "212-281-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURAV",
        "first_name": "SIDDHAI RAJENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.