Individual provider Active NPI

Vidhi Amin

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1598425548
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1835 Richmond Rd
Staten Island, NY 10306-2560
Phone
(718) 502-5271
NPI assigned
Dec 17, 2021
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 Primary

Addresses

Primary practice location

1835 Richmond Rd
Staten Island, NY 10306-2560

Mailing address

1835 Richmond Rd
Staten Island, NY 10306-2560
Phone (718) 502-5271

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315001111 NJ Practitioner - Physical Therapist in Private Practice 9638540925 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New U Physical Therapy PLLC Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Carteret Comprehensive Medical Care, P.C. CurrentSince Feb 13, 2023 Accepting new patients
Carteret Comprehensive Medical Care,PC Single Specialty CurrentSince Feb 13, 2023 Accepting new patients
Prestige Rehab LLC Physical Therapist CurrentSince Mar 12, 2023 Accepting new patients
Mobility & Motion, LLC Single Specialty CurrentSince Apr 17, 2023 Accepting new patients
Recover Pro Medical & Wellness Single Specialty Past Accepting new patients

Locations

72 State Route 27
Edison, NJ 08820
Phone (732) 662-9901

958 Adelphia Rd
Freehold, NJ 07728
Phone (732) 308-1512

311 Spotswood Englishtown Rd
Monroe Township, NJ 08831
Phone (732) 251-5200

Organizations & group practices 6

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1598425548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062560",
            "telephone_number": "718-502-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062560",
            "telephone_number": "718-502-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "VIDHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.