Individual provider Active NPI

Anvi Mody, MSPT

  • Physical Therapist
  • Wantagh, NY
National Provider Identifier
1780044248
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052100 Issued in NY
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

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230420001602 NJ Practitioner - Physical Therapist in Private Practice 8022473362 Reassigns benefits to 1 organization
I20240530003338 NY Practitioner - Physical Therapist in Private Practice 8022473362 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
40QA01652700NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 4, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 4, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jun 1, 2024 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.

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.

Verify at the official NPI Registry.