Organization Active NPI

Em Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1689316770
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EM PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Practice address
10615 Queens Blvd # B11
Forest Hills, NY 11375-4301
Phone
(646) 389-1161
Fax
(201) 591-7839
NPI assigned
Apr 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Bhavik Praful Sheth, PT, DPTNPI 1750835351
Title
Physical Therapist
Phone
(718) 308-5225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

10615 Queens Blvd # B11
Forest Hills, NY 11375-4301

Mailing address

10615 Queens Blvd # B11
Forest Hills, NY 11375-4301
Phone (646) 389-1161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223002017 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739524224 Receives reassigned benefits from 5 practitioners
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1689316770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 QUEENS BLVD # B11",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754301",
            "telephone_number": "646-389-1161",
            "fax_number": "201-591-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 QUEENS BLVD # B11",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754301",
            "telephone_number": "646-389-1161",
            "fax_number": "201-591-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM PHYSICAL AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "BHAVIK",
        "authorized_official_middle_name": "PRAFUL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-308-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.