Individual provider Active NPI

Prianka Datta, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1467824201
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039590 Issued in NY
Practice address
18 E 48TH St RM 802
New York, NY 10017-1081
Phone
(212) 847-7864
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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 039590 NY Primary

Addresses

Primary practice location

18 E 48TH St RM 802
New York, NY 10017-1081

Mailing address

1838 7TH Ave Apt 6
New York, NY 10026-3649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325001524 NJ Practitioner - Physical Therapist in Private Practice 3870887227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Comprehensive Physical Therapy LLCGroup PAC ID 9537446570, 13 clinicians

Practice addresses (Care Compare)

246 Clifton Ave
Clifton, NJ 07011-1900
Phone (862) 899-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039590NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Comprehensive Physical Therapy LLC Physical Therapist CurrentSince Mar 29, 2021 Accepting new patients
Carteret Comprehensive Medical Care,PC CurrentSince Mar 19, 2020 Accepting new patients
Carteret Comprehensive Medical Care, P.C. CurrentSince Mar 19, 2020 Accepting new patients

Locations

246 Clifton Ave
Clifton, NJ 07011
Phone (862) 899-7900

72 State Route 27
Edison, NJ 08820
Phone (732) 662-9901

311 Spotswood Englishtown Rd
Monroe Township, NJ 08831
Phone (732) 251-5200

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": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1467824201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 7TH AVE APT 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 48TH ST RM 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171081",
            "telephone_number": "212-847-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "PRIANKA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039590",
            "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 Nov 20, 2015; 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.