Individual provider Active NPI

Chetali Zaveri, PT

  • Physical Therapist
  • Pearl River, NY
National Provider Identifier
1548770530
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024785-1 Issued in NY
Practice address
401 N Middletown Rd BLDG 160
Pearl River, NY 10965-1298
Phone
(845) 602-4443
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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 024785-1 NY Primary

Addresses

Primary practice location

401 N Middletown Rd BLDG 160
Pearl River, NY 10965-1298

Mailing address

401 N. Middleton Road
Occupational Health and Wellness, Building 160
Pear River, NY 10965
Phone (845) 602-4443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181214000535 NJ Practitioner - Physical Therapist in Private Practice 0042251662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Back Pain Center LLCGroup PAC ID 7214917681, 6 clinicians

Practice addresses (Care Compare)

83 Franklin Tpke
Waldwick, NJ 07463-1820
Phone (201) 445-1079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024785-1NYMDPhysical Therapist
024785NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Back Pain Center, LLC CurrentSince Oct 15, 2018 Accepting new patients
Premier Medical of NJ PastSince Oct 15, 2018 Accepting new patients

Locations

83 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 444-1079

Organizations & group practices 2

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1548770530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N. MIDDLETON ROAD",
            "address_2": "OCCUPATIONAL HEALTH AND WELLNESS, BUILDING 160",
            "city": "PEAR RIVER",
            "state": "NY",
            "postal_code": "10965",
            "telephone_number": "845-602-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MIDDLETOWN RD BLDG 160",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651298",
            "telephone_number": "845-602-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVERI",
        "first_name": "CHETALI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024785-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.