Individual provider Active NPI

Shraddha Tomar, PT

  • Physical Therapist
  • Mineola, NY
National Provider Identifier
1578329884
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050377-01 Issued in NY
Practice address
137 Willis Ave Ste 100
Mineola, NY 11501-2670
Phone
(516) 833-5880
Fax
(516) 833-5881
NPI assigned
Feb 23, 2024
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 050377-01 NY Primary

Addresses

Primary practice location

137 Willis Ave Ste 100
Mineola, NY 11501-2670

Mailing address

PO Box 781
Mineola, NY 11501-0781
Phone (516) 833-5880

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
050377-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Physical Therapy PC Physical Therapist CurrentSince Feb 25, 2024 Accepting new patients

Locations

137 Willis Ave
Ste 100
Mineola, NY 11501
Phone (516) 741-9600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1578329884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115010781",
            "telephone_number": "516-833-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 WILLIS AVE STE 100",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012670",
            "telephone_number": "516-833-5880",
            "fax_number": "516-833-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAR",
        "first_name": "SHRADDHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050377-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.