Individual provider Active NPI

Vibhor Makkar, D.P.T

  • Physical Therapist
  • Dix Hills, NY
National Provider Identifier
1649508680
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031401-1 Issued in NY
Practice address
17 Talon Way
Dix Hills, NY 11746-6238
Phone
(516) 592-0297
NPI assigned
Dec 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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 031401-1 NY Primary

Addresses

Primary practice location

17 Talon Way
Dix Hills, NY 11746-6238

Mailing address

17 Talon Way
Dix Hills, NY 11746-6238
Phone (516) 592-0297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140313001197 NY Practitioner - Physical Therapist in Private Practice 9537399597 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Associates of Smithtown PCGroup PAC ID 3274424619, 2 clinicians
Speonk Physical TherapyGroup PAC ID 4284795113, 2 clinicians

Practice addresses (Care Compare)

100 Maple Ave
Smithtown, NY 11787-3519
Phone (631) 265-8084

295 Montauk Hwy
Speonk, NY 11972

295 Montauk Hwy
Suite 586
Speonk, NY 11972-2505
Phone (631) 325-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031401-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speonk Physical Therapy Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Hillside Primary Care PLLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC Physical Therapist CurrentSince Apr 10, 2014 Accepting new patients
Physical Therapy Associates of Smithtown PC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Hillside Urgent Care PLLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

16403 Hillside Ave
Jamaica, NY 11432
Phone (718) 298-6739

16403 Hillside Ave
#1
Jamaica, NY 11432
Phone (347) 771-8473

100 Maple Ave
Ste 2
Smithtown, NY 11787

100 Maple Ave
Smithtown, NY 11787
Phone (631) 265-7671

Organizations & group practices 5

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1649508680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TALON WAY",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466238",
            "telephone_number": "516-592-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 TALON WAY",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466238",
            "telephone_number": "516-592-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKKAR",
        "first_name": "VIBHOR",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031401-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.