Individual provider Active NPI

Moomal Rajput

  • Physical Therapist
  • Harrison, NY
National Provider Identifier
1699544494
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050610 Issued in NY
Practice address
450 Mamaroneck Ave Ste 412
Harrison, NY 10528-2430
Phone
(914) 686-3116
NPI assigned
Dec 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 050610 NY Primary

Addresses

Primary practice location

450 Mamaroneck Ave Ste 412
Harrison, NY 10528-2430

Mailing address

1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251220000094 CT Practitioner - Physical Therapist in Private Practice 1254826829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT of Connecticut PLLCGroup PAC ID 5395134852, 11 clinicians

Practice addresses (Care Compare)

499 B Westport Ave
Norwalk, CT 06851-4411
Phone (475) 470-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050610NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT of Connecticut PLLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Westchester Therapy Solutions OT PT St, PLLC PastSince Dec 24, 2023 Accepting new patients

Locations

4775 Main St
Bridgeport, CT 06606
Phone (203) 371-0076

499 Westport Ave
#B
Norwalk, CT 06851
Phone (475) 470-0400

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

Organizations & group practices 2

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": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1699544494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY RD STE C103N",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 412",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282430",
            "telephone_number": "914-686-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJPUT",
        "first_name": "MOOMAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.