Active NPI
Rutvi Mehta, P.T.
- Physical Therapist
- Forest Hills, NY
National Provider Identifier
1790933919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01539200
- Practice address
- 9610 Metropolitan Ave
Forest Hills, NY 11375-6625 - Phone
- (718) 286-3877
- Fax
- (718) 663-5781
- NPI assigned
- Aug 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01539200 | NJ | Primary |
Addresses
Primary practice location
9610 Metropolitan Ave
Forest Hills, NY 11375-6625
Mailing address
206 Broad St
Red Bank, NJ 07701-2002
Phone (631) 467-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Country Club LN
Colts Neck, NJ 07722-2222
Phone (855) 678-8887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01539200 | NJ | MD | Physical Therapist |
| 030312 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Back and Body Medical Center, LLC | Physical Therapist | Current | Accepting new patients |
Locations
505 E Broad St
Westfield, NJ 07090
Phone (908) 232-5000
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.
-
- Physical Therapist
- Colts Neck, NJ
- NPI 1750032553
-
- Interventional Pain Medicine Physician
- Westfield, NJ
- NPI 1447930862
Physical Therapist
-
- Chiropractor
- Red Bank, NJ
- NPI 1861648792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1790933919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 BROAD ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012002",
"telephone_number": "631-467-3700",
"fax_number": "631-467-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 METROPOLITAN AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756625",
"telephone_number": "718-286-3877",
"fax_number": "718-663-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "RUTVI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01539200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.