Individual provider Active NPI

Hetanshi Rajesh Raikundlia, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1598531915
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050402-01 Issued in NY
Practice address
1021 Bedford Ave
Brooklyn, NY 11205-5263
Phone
(929) 480-0783
NPI assigned
Nov 27, 2023
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 050402-01 NY Primary

Addresses

Primary practice location

1021 Bedford Ave
Brooklyn, NY 11205-5263

Mailing address

2531 Steinway St
Astoria, NY 11103-3788
Phone (929) 463-7104

Other practice location 1

1134 Flatbush Ave
Brooklyn, NY 11226-6101
Phone (347) 341-7060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319000148 NY Practitioner - Physical Therapist in Private Practice 0648617225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutton Place Physical Therapy PCGroup PAC ID 8921999046, 13 clinicians

Practice addresses (Care Compare)

333 E 56TH St
New York, NY 10022-3758
Phone (212) 317-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050402NYMDDentist
050402-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Place Physical Therapy PC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Hands of Hope PT PC Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients

Locations

1134 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 218-8204

333 E 56th St
New York, NY 10022
Phone (212) 317-1600

333 E 56th St
Ofc 1
New York, NY 10022
Phone (212) 289-3236

8003 211th St
Queens Vlg, NY 11427
Phone (718) 464-8948

1432 Hylan Blvd
Staten Island, NY 10305
Phone (718) 980-6868

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, 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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1598531915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033788",
            "telephone_number": "929-463-7104",
            "fax_number": "929-463-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112055263",
            "telephone_number": "929-480-0783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112266101",
            "country_code": "US",
            "telephone_number": "347-341-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIKUNDLIA",
        "first_name": "HETANSHI RAJESH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050402-01",
            "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 Mar 13, 2024; 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.