Individual provider Active NPI

Shivani Upadhyay

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1780201533
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041588 Issued in NY
Practice address
280 W 231St St
Bronx, NY 10463-3940
Phone
(718) 514-6120
NPI assigned
Jun 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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 041588 NY Primary

Addresses

Primary practice location

280 W 231St St
Bronx, NY 10463-3940

Mailing address

615 Pavonia Ave Apt 4008
Jersey City, NJ 07306-2961
Phone (302) 932-6184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018002373 NY Practitioner - Physical Therapist in Private Practice 0345648614 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
Theradynamics Rehab PT, OT and SLP, PLLCGroup PAC ID 4082045802, 63 clinicians

Practice addresses (Care Compare)

280 W 231St St
Bronx, NY 10463-3940
Phone (718) 514-6120

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
75.36
Improvement activities
40
Cost
71.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041588NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Theradynamics Rehab. PT, OT & SLP, PLLC Physical Therapist CurrentSince Jul 14, 2021 Accepting new patients
Theradynamics Physical Therapy Rehabilitation PC Physical Therapist Past Accepting new patients

Locations

2148 Bartow Ave
Bronx, NY 10475
Phone (718) 316-9191

280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

1000 Pelham Pkwy S
Bronx, NY 10461
Phone (718) 409-8200

166 Fulton Ave
Ste 168
Hempstead, NY 11550

7627 37th Ave
Jackson Heights, NY 11372
Phone (718) 887-9888

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

1 Nagle Ave
#1
New York, NY 10040

3644 Broadway
Ste 48
New York, NY 10031

2229 Frederick Douglass Blvd
New York, NY 10027
Phone (212) 678-2200

131 W 135th St
New York, NY 10030
Phone (212) 281-8678

13240 Metropolitan Ave
Richmond Hill, NY 11418
Phone (718) 376-1111

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": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1780201533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PAVONIA AVE APT 4008",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062961",
            "telephone_number": "302-932-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633940",
            "telephone_number": "718-514-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAY",
        "first_name": "SHIVANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.