Individual provider Active NPI

Tarandeep Jaidka

  • Orthopedic Physical Therapist
  • Rochester, NY
National Provider Identifier
1750962866
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
047066-01 Issued in NY
Practice address
10 S Pointe LNDG Ste 100
Rochester, NY 14606-3481
Phone
(585) 341-0917
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 047066-01 NY Primary

Addresses

Primary practice location

10 S Pointe LNDG Ste 100
Rochester, NY 14606-3481

Mailing address

10 S Pointe LNDG Ste 100
Rochester, NY 14606-3481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102001377 MA Practitioner - Physical Therapist in Private Practice 9436526522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Massachusetts Physical Therapy and Wellness LLCGroup PAC ID 6507903481, 20 clinicians

Practice addresses (Care Compare)

354 W Boylston St
Suite 111
West Boylston, MA 01583-2373
Phone (508) 852-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047066-01NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Massachusetts Physical Therapy and Wellness, LLC Orthopedic CurrentSince Sep 20, 2022 Accepting new patients

Locations

354 W Boylston St
Ste 111
West Boylston, MA 01583
Phone (508) 852-3700

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1750962866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S POINTE LNDG STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146063481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S POINTE LNDG STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146063481",
            "telephone_number": "585-341-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIDKA",
        "first_name": "TARANDEEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "047066-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.