Individual provider Active NPI

Vibhakar V Karambelkar, M.SC. PT

  • Physical Therapist
  • Hicksville, NY
National Provider Identifier
1619205838
Registry record updated Nov 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012493-1 Issued in NY
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

Updated by the provider on Nov 29, 2009

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 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

IdentifierTypeStateIssuer
02652573MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012002128 DC Practitioner - Physical Therapist in Private Practice 2668784760 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
Body Kinetics Rehab, LLCGroup PAC ID 4688766256, 7 clinicians

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

LicenseStateTypeSpecialty
012493-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Kinetics Rehab LLC. CurrentSince Mar 1, 2015 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.

Verify at the official NPI Registry.