Individual provider Active NPI

Pragna Sadula

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1669915534
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039636 Issued in NY
Practice address
9614 Metropolitan Ave Ste B
Forest Hills, NY 11375-6675
Phone
(718) 424-9531
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 039636 NY Primary

Addresses

Primary practice location

9614 Metropolitan Ave Ste B
Forest Hills, NY 11375-6675

Mailing address

19617 Hillside Ave
Hollis, NY 11423-2157
Phone (618) 202-9605

Other practice location 1

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone (718) 456-2543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215000061 NY Practitioner - Physical Therapist in Private Practice 6406136142 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

11835 Queens Blvd
Suite 1550
Forest Hills, NY 11375-7215
Phone (718) 544-5730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039636NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Moon Rehab PT PC Physical Therapist CurrentSince Dec 14, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Jul 8, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 8, 2024 Accepting new patients
Synergy Health Medical Solutions PC CurrentSince Nov 20, 2019 Accepting new patients
Active United Care Physical Therapy, PLLC Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients
Mac Anesthesia, PC CurrentSince Feb 25, 2019 Accepting new patients
Attia Rehabilitation PT PC Physical Therapist CurrentSince Jan 22, 2022 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1815 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 479-3900

7402 Grand Ave
Ste 3B
Elmhurst, NY 11373
Phone (917) 369-1017

9614 Metropolitan Ave
Ste B
Forest Hills, NY 11375
Phone (718) 424-9531

11835 Queens Blvd
Ste 1550
Forest Hills, NY 11375
Phone (718) 544-5730

95 Clinton St
Hempstead, NY 11550
Phone (516) 292-0800

49 N Franklin St
Hempstead, NY 11550
Phone (516) 292-3111

17119 Hillside Ave
Jamaica, NY 11432
Phone (718) 400-7000

11111 Liberty Ave
South Richmond Hill, NY 11419
Phone (347) 754-9442

11208 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 479-3900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1669915534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19617 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232157",
            "telephone_number": "618-202-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 METROPOLITAN AVE STE B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756675",
            "telephone_number": "718-424-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6805 FRESH POND RD",
            "address_purpose": "LOCATION",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855200",
            "country_code": "US",
            "telephone_number": "718-456-2543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADULA",
        "first_name": "PRAGNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.