Individual provider Active NPI

Chandrashekhar Ardesana, PT

  • Physical Therapist
  • Spring Valley, NY
National Provider Identifier
1811230154
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035112-1 Issued in NY
Practice address
60 N Madison Ave
Spring Valley, NY 10977-4811
Phone
(845) 414-9115
Fax
(845) 414-9128
NPI assigned
Apr 5, 2013
Last updated
Oct 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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 035112-1 NY Primary

Addresses

Primary practice location

60 N Madison Ave
Spring Valley, NY 10977-4811

Mailing address

60 N Madison Ave
Spring Valley, NY 10977-4811
Phone (845) 414-9115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109001844 NY Practitioner - Physical Therapist in Private Practice 7214216555 Reassigns benefits to 2 organizations
Practice locations: New City, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Shree Harikrushan Physical Therapy PCGroup PAC ID 0749516581, 6 clinicians

Practice addresses (Care Compare)

873 Route 45
Suite 102
New City, NY 10956-1123
Phone (845) 414-9115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035112-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shree Harikrushan Physical Therapy PC Physical Therapist CurrentSince May 25, 2019 Accepting new patients
Optimal Home Care Inc Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Genesis Medical Health PC Past Accepting new patients
Fountainview at College Rd PastSince Jun 14, 2020 Accepting new patients
BSD PT OT Services PLLC Physical Therapist PastSince Aug 1, 2020 Accepting new patients
Optimal Otpt PastSince Jul 16, 2023 Accepting new patients

Locations

873 Route 45
Ste 102
New City, NY 10956
Phone (845) 354-7779

60 N Madison Ave
Spring Valley, NY 10977
Phone (845) 414-9115

3296 Palisades Center Dr
West Nyack, NY 10994
Phone (845) 213-2064

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1811230154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774811",
            "telephone_number": "845-414-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774811",
            "telephone_number": "845-414-9115",
            "fax_number": "845-414-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDESANA",
        "first_name": "CHANDRASHEKHAR",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035112-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.