Ekta V Panchal

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Practice address

496 Boulevard Apt C9
Passaic, NJ 07055-2142

Phone

(551) 271-6143

NPI assigned

Jun 20, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RB Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1790013282

  Geriatrics

  Medicare reassignment Care Compare group NPD
• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Geriatrics

  Medicare reassignment NPD
• One on One Physical Therapy Services PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1740423219
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1477284586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 BOULEVARD APT C9",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552142",
            "telephone_number": "551-271-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 BOULEVARD APT C9",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552142",
            "telephone_number": "551-271-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "EKTA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "webpt",
            "affiliation": "N",
            "address_1": "4 Medical Park Dr Ste B",
            "city": "Pomona",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109703572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriela Ortiz, LPC, NCC
• Tatiana Pace
• Natividad Padierna, LCSW
• Kerry-Ann Pagano, RN
• Saurav Pahal, MD
• Joycelyn Paredes-Santos
• Devorah Paretzky, MA CCC-SLP
• Sneha Prakash Parikh, MD
• Young Park, M.D.
• Erin Parks, LCSW, LCADC

• Geriatric Physical Therapist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Geriatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.