Individual provider Active NPI

Riddhi Desai, PT

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1740705300
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33108 Issued in FL
Practice address
14330 58TH St N Apt 7202
Clearwater, FL 33760-2823
Phone
(732) 325-4100
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041684 NY
Physical Therapist 225100000X PT33108 FL Primary

Addresses

Primary practice location

14330 58TH St N Apt 7202
Clearwater, FL 33760-2823

Mailing address

14330 58TH St N Apt 7202
Clearwater, FL 33760-2823

Other practice location 1

3377 Richmond Ave
Staten Island, NY 10312-2025
Phone (646) 820-5669

Other practice location 2

3180 Curlew Rd Unit 102
Oldsmar, FL 34677
Phone (732) 325-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33108FLMDPhysical Therapist
041684NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance and Physical Therapies Palm Harbor LLC Physical Therapist PastSince Feb 3, 2019 Accepting new patients

Organizations & group practices 1

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1740705300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 58TH ST N APT 7202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 58TH ST N APT 7202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602823",
            "telephone_number": "732-325-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3377 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103122025",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 Curlew Rd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Oldsmar",
            "state": "FL",
            "postal_code": "34677",
            "country_code": "US",
            "telephone_number": "732-325-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "RIDDHI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041684",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.