Active NPI
Parth Umeshbhai Vasavada
- Physical Therapist
- Bronx, NY
National Provider Identifier
1780323493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046482
- Practice address
- 3400 Cannon PL
Bronx, NY 10463-4302 - Phone
- (718) 796-8100
- NPI assigned
- Jun 1, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 046482 | NY | Primary |
Addresses
Primary practice location
3400 Cannon PL
Bronx, NY 10463-4302
Mailing address
454 Liberty Ave
Jersey City, NJ 07307-4137
Phone (216) 778-0275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046482 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1780323493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 LIBERTY AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073074137",
"telephone_number": "216-778-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CANNON PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104634302",
"telephone_number": "718-796-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASAVADA",
"first_name": "PARTH",
"middle_name": "UMESHBHAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046482",
"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 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.