Individual provider Active NPI

Karthik Bhashyam, PT

  • Physical Therapist
  • Hicksville, NY
National Provider Identifier
1609370956
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039835 Issued in NY
Practice address
16 Gardenia LN
Hicksville, NY 11801-2009
Phone
(347) 561-0355
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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 039835 NY Primary

Addresses

Primary practice location

16 Gardenia LN
Hicksville, NY 11801-2009

Mailing address

3752 80TH St Apt 5C
Jackson Heights, NY 11372-9008
Phone (859) 420-3461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180705002473 NY Practitioner - Physical Therapist in Private Practice 2264788280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dreiser Physical Therapy and Rehabilitation PCGroup PAC ID 0648455352, 4 clinicians

Practice addresses (Care Compare)

145 Dreiser Loop
Bronx, NY 10475-2704
Phone (347) 843-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039835NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dreiser Physical Therapy and Rehabilitation PC CurrentSince Jun 8, 2020 Accepting new patients

Locations

145 Dreiser Loop
Bronx, NY 10475
Phone (347) 843-0900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1609370956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 80TH ST APT 5C",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113729008",
            "telephone_number": "859-420-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GARDENIA LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012009",
            "telephone_number": "347-561-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASHYAM",
        "first_name": "KARTHIK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.