Organization Active NPI

My Physicaltherapy

  • Home Health Agency
  • Randolph, NJ
National Provider Identifier
1689236952
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MY PHYSICALTHERAPY
Practice address
2 Quail Run
Randolph, NJ 07869-2827
Phone
(914) 316-5318
NPI assigned
Jul 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Chandri Patel
Title
PT DPT
Phone
(914) 316-5318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2 Quail Run
Randolph, NJ 07869-2827

Mailing address

2 Quail Run
Randolph, NJ 07869-2827

Other identifiers 1

IdentifierTypeStateIssuer
1477829794OtherNMNPPE

Other names 1

  • My Physical therpay LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chanimesh@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562457600000",
    "number": "1689236952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 QUAIL RUN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 QUAIL RUN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692827",
            "telephone_number": "914-316-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHYSICALTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHANDRI",
        "authorized_official_title_or_position": "PT DPT",
        "authorized_official_telephone_number": "914-316-5318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPE",
            "identifier": "1477829794",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chanimesh@gmail.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Quail Run",
            "city": "Randolph",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078692827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "My Physical therpay LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.