Active NPI
Riddhi Desai, PT
- Physical Therapist
- Clearwater, FL
National Provider Identifier
1740705300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT33108 | FL | MD | Physical Therapist |
| 041684 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies Palm Harbor LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Palm Harbor, FL
- NPI 1437456167
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.