Active NPI
Anand R Vyas, PT
- Rehabilitation Chiropractor
- Briarwood, NY
National Provider Identifier
1588971279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- P77489
- Practice address
- 138-76 Queens Blvd 1St Floor
Briarwood, NY 11435-2930 - Phone
- (718) 850-6345
- Fax
- (718) 559-4895
- NPI assigned
- Sep 2, 2010
- Last updated
- Sep 2, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | P77489 | NY | Primary |
Addresses
Primary practice location
138-76 Queens Blvd 1St Floor
Briarwood, NY 11435-2930
Mailing address
13876 Queens Blvd FL 1
Briarwood, NY 11435-2930
Phone (718) 850-6345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261665877 | Other | NY | PHYSICAL THERAPY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P77489 | NY | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morano Rehabilitation PT Home Services PLLC | Multi-Specialty | Past | Accepting new patients |
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.
-
- Geriatric Physical Therapist
- East Chatham, NY
- NPI 1194044685
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1588971279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13876 QUEENS BLVD FL 1",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352930",
"telephone_number": "718-850-6345",
"fax_number": "718-559-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138-76 QUEENS BLVD 1ST FLOOR",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352930",
"telephone_number": "718-850-6345",
"fax_number": "718-559-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "ANAND",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "NY",
"license": "P77489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "261665877",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.