NPIMap

Organization Active NPI

Shree Harikrushan Physical Therapy PC

  • Physical Therapy Assistant
  • Spring Valley, NY
National Provider Identifier
1750870135
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Legal business name
SHREE HARIKRUSHAN PHYSICAL THERAPY PC
Practice address
60 N Madison Ave
Spring Valley, NY 10977-4811
Phone
(845) 414-9115
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Chandrashekhar Ardesana, PTNPI 1811230154
Title
Owner
Phone
(973) 722-7003

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X Primary

Addresses

Primary practice location

60 N Madison Ave
Spring Valley, NY 10977-4811

Mailing address

60 N Madison Ave
Spring Valley, NY 10977-4811
Phone (845) 414-9115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731002107 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749516581 Receives reassigned benefits from 6 practitioners
Practice locations: New City, NY; Spring Valley, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1750870135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774811",
            "telephone_number": "845-414-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774811",
            "telephone_number": "845-414-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE HARIKRUSHAN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "ARDESANA",
        "authorized_official_first_name": "CHANDRASHEKHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-722-7003",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.