Active NPI
Vibhakar V Karambelkar, M.SC. PT
- Physical Therapist
- Hicksville, NY
National Provider Identifier
1619205838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012493-1
- Practice address
- 18 Amherst LN
Hicksville, NY 11801-3304 - Phone
- (516) 603-7033
- NPI assigned
- Nov 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012493-1 | NY | Primary |
Addresses
Primary practice location
18 Amherst LN
Hicksville, NY 11801-3304
Mailing address
18 Amherst LN
Hicksville, NY 11801-3304
Phone (516) 603-7033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02652573 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
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
Practice addresses (Care Compare)
7617 Little River Tpke
Suite 100
Annandale, VA 22003-2603
Phone (703) 639-0950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012493-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Kinetics Rehab LLC. | Current | Accepting new patients |
Locations
7617 Little River Tpke
Ste 100
Annandale, VA 22003
Phone (703) 639-0950
7617 Little River Tpke
Ste 110
Annandale, VA 22003
Phone (571) 581-1771
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": "1259452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259452800000",
"number": "1619205838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 AMHERST LN",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013304",
"telephone_number": "516-603-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 AMHERST LN",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013304",
"telephone_number": "516-603-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARAMBELKAR",
"first_name": "VIBHAKAR",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "M.SC. PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-29",
"last_updated": "2009-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "012493-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02652573",
"state": "NY"
}
],
"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 Nov 29, 2009; 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.