Active NPI
Anvi Mody, MSPT
- Physical Therapist
- Wantagh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 052100
- Practice address
- 1169 Wantagh Ave
Wantagh, NY 11793-2136 - Phone
- (516) 785-4800
- Fax
- (516) 785-4804
- NPI assigned
- Feb 26, 2016
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA01652700 | NJ | |
| Physical Therapist | 225100000X | 052100 | NY | Primary |
Addresses
Primary practice location
1169 Wantagh Ave
Wantagh, NY 11793-2136
Mailing address
1169 Wantagh Ave
Wantagh, NY 11793-2136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1169 Wantagh Ave
Wantagh, NY 11793-2136
Phone (516) 785-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01652700 | NJ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
Locations
1071 Inman Ave
Unit 4
Edison, NJ 08820
Phone (732) 518-8868
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
1111 US Highway 22
Mountainside, NJ 07092
Phone (908) 389-9100
1260 Centennial Ave
Piscataway, NJ 08854
Phone (732) 204-0678
1063 Willis Ave
Albertson, NY 11507
Phone (516) 656-7776
939 Atlantic Ave
Baldwin, NY 11510
Phone (516) 517-0404
4276 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-5570
973 Fulton St
Brooklyn, NY 11238
Phone (718) 230-1180
194 New Hyde Park Rd
Franklin Square, NY 11010
Phone (516) 738-5599
214 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 268-3555
550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737
3961 Long Beach Rd
Island Park, NY 11558
Phone (516) 599-8734
286A Portion Rd
Lake Ronkonkoma, NY 11779
Phone (631) 710-3317
286 Portion Rd
#A
Lake Ronkonkoma, NY 11779
Phone (631) 710-3317
225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734
1730 Lakeville Rd
New Hyde Park, NY 11040
Phone (516) 326-4580
389 Fort Salonga Rd
Northport, NY 11768
Phone (631) 261-0444
1169 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-4800
760 Montauk Hwy
Water Mill, NY 11976
Phone (347) 754-7952
Organizations & group practices 4
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
- Harrison, NY
- NPI 1396799409
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1780044248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 WANTAGH AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 WANTAGH AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932136",
"telephone_number": "516-785-4800",
"fax_number": "516-785-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODY",
"first_name": "ANVI",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-26",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01652700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "052100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.