Individual provider Active NPI

Jivanbhai Jashubhai Ahir

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1639753965
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047005 Issued in NY
Practice address
2876 W 27TH St
Brooklyn, NY 11224-2812
Phone
(718) 265-2222
Fax
(718) 333-1023
NPI assigned
May 12, 2021
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 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 047005 NY Primary

Addresses

Primary practice location

2876 W 27TH St
Brooklyn, NY 11224-2812

Mailing address

2876 W 27TH St
Brooklyn, NY 11224-2812
Phone (718) 265-2222

Other identifiers 1

IdentifierTypeStateIssuer
047005OtherNYREGISTRATION CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210601000729 NY Practitioner - Physical Therapist in Private Practice 7315346020 Reassigns benefits to 2 organizations
I20241126001890 NJ Practitioner - Physical Therapist in Private Practice 7315346020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Comprehensive Physical Therapy LLCGroup PAC ID 9537446570, 13 clinicians

Practice addresses (Care Compare)

246 Clifton Ave
Clifton, NJ 07011-1900
Phone (862) 899-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047005NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Chiropractic Services LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Golden Touch Physical Therapy, PLLC Single Specialty CurrentSince May 1, 2021 Accepting new patients
Ultra Comprehensive Physical Therapy LLC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Road to Recovery Physical Therapy, P.C. Single Specialty CurrentSince Jul 15, 2023 Accepting new patients
TBW Acupuncture & Herbs Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
A to Z Total Healthcare LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Integrative Acupuncture & Care PC Physical Therapist PastSince Apr 1, 2025 Accepting new patients

Locations

246 Clifton Ave
Clifton, NJ 07011
Phone (862) 899-7900

2062 Millburn Ave
Ste 202
Maplewood, NJ 07040
Phone (862) 899-7900

403 39th St
#B
Union City, NJ 07087
Phone (201) 472-8900

1270 44th St
Ste 1
Brooklyn, NY 11219
Phone (718) 840-3399

2876 W 27th St
Brooklyn, NY 11224
Phone (718) 265-2222

535 Flushing Ave
Brooklyn, NY 11205
Phone (781) 488-7272

Organizations & group practices 7

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1639753965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 W 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242812",
            "telephone_number": "718-265-2222",
            "fax_number": "718-333-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2876 W 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242812",
            "telephone_number": "718-265-2222",
            "fax_number": "718-333-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHIR",
        "first_name": "JIVANBHAI",
        "middle_name": "JASHUBHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION CERTIFICATE",
            "identifier": "047005",
            "state": "NY"
        }
    ],
    "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 May 12, 2021; 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.