Individual provider Active NPI

Ruchita Vikram Daftary

  • Physical Therapist
  • Levittown, NY
National Provider Identifier
1770163792
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036645 Issued in NY
Practice address
29 Border LN
Levittown, NY 11756-3001
Phone
(662) 801-8145
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 036645 NY Primary

Addresses

Primary practice location

29 Border LN
Levittown, NY 11756-3001

Mailing address

29 Border LN
Levittown, NY 11756-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221230002263 NY Practitioner - Physical Therapist in Private Practice 3678943941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visiting PT OT Services PLLCGroup PAC ID 1153721899, 22 clinicians

Practice addresses (Care Compare)

85 Roosevelt Ave
Valley Stream, NY 11581-1133
Phone (646) 886-8687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting PT OT Services PLLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Patriot Family Medical Associates PLLC PastSince May 30, 2016 Accepting new patients

Locations

85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1770163792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BORDER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BORDER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563001",
            "telephone_number": "662-801-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFTARY",
        "first_name": "RUCHITA",
        "middle_name": "VIKRAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.