Active NPI
Vaishali K Mada, PT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038136-1
- Practice address
- 250 W 93Rd St
New York, NY 10025-7391 - Phone
- (212) 580-0125
- Fax
- (516) 466-7723
- NPI assigned
- Oct 22, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 038136-1 | NY | Primary |
Addresses
Primary practice location
250 W 93Rd St
New York, NY 10025-7391
Mailing address
475 Northern Blvd Ste 37
Great Neck, NY 11021-4802
Phone (516) 344-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
Practice addresses (Care Compare)
250 W 93Rd St
New York, NY 10025-7391
Phone (516) 829-0030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038136 | NY | MD | Pharmacist |
| 038136-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Liberty Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Past | Accepting new patients |
Locations
115 Christopher Columbus Dr
Ste 300
Jersey City, NJ 07302
Phone (201) 366-1115
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023
250 W 93rd St
Apt Llvl
New York, NY 10025
Phone (212) 580-0125
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
- Jersey City, NJ
- NPI 1669768735
-
- Physical Therapy Clinic/Center
- Valley Stream, NY
- NPI 1942782966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1477957280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 37",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214802",
"telephone_number": "516-344-0023",
"fax_number": "516-466-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 93RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257391",
"telephone_number": "212-580-0125",
"fax_number": "516-466-7723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADA",
"first_name": "VAISHALI",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038136-1",
"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 Mar 11, 2026; 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.