Individual provider Active NPI

Ishwa Vivekkumar Dave, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1770346728
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051426 Issued in NY
Practice address
2273 Broadway
New York, NY 10024-5413
Phone
(646) 328-6040
NPI assigned
Feb 2, 2024
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 051426 NY Primary

Addresses

Primary practice location

2273 Broadway
New York, NY 10024-5413

Mailing address

102 Madison Ave FL 8
New York, NY 10016-7584
Phone (212) 759-2282

Other practice location 1

16 Court St
Brooklyn, NY 11241-0102
Phone (718) 643-7116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214002346 NY Practitioner - Physical Therapist in Private Practice 9638513922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

16 Court St
Suite 505
Brooklyn, NY 11241-1035
Phone (781) 643-7116

2273 Broadway
New York, NY 10024-5413
Phone (646) 328-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051426NYMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Jag Physical Therapy Ny LLC Physical Therapist Past Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

16 Court St
Ste 505
Brooklyn, NY 11241
Phone (718) 643-7116

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

102 Madison Ave
Fl 8
New York, NY 10016

201 E 21st St
Apt 1B
New York, NY 10010
Phone (212) 353-5029

2273 Broadway
New York, NY 10024
Phone (646) 328-6040

274 Madison Ave
Fl 2
New York, NY 10016
Phone (464) 678-5995

632 Broadway
Ste J
New York, NY 10012
Phone (212) 432-5847

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1770346728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MADISON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167584",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245413",
            "telephone_number": "646-328-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Court St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112410102",
            "country_code": "US",
            "telephone_number": "718-643-7116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "ISHWA",
        "middle_name": "VIVEKKUMAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.