Individual provider Active NPI

Maheshkumar Ghusabhai Baladaniya, PHYSICAL THERAPY

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1578075255
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8845 19TH Ave
Brooklyn, NY 11214-6008
Phone
(718) 449-9819
NPI assigned
Nov 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 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 NY Primary

Addresses

Primary practice location

8845 19TH Ave
Brooklyn, NY 11214-6008

Mailing address

35 Kimmig Ave Apt 12B
Lodi, NJ 07644-1452
Phone (205) 499-7344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1578075255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KIMMIG AVE APT 12B",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441452",
            "telephone_number": "205-499-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146008",
            "telephone_number": "718-449-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALADANIYA",
        "first_name": "MAHESHKUMAR",
        "middle_name": "GHUSABHAI",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.