Avan M. Raimalwala, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037650 Issued in NY

Practice address

91 Gleneida Ave Ste a
Carmel, NY 10512-1222

Phone

(845) 228-7000

Fax

(845) 228-5485

NPI assigned

Sep 12, 2014

Last updated

Feb 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evidence Physical Therapy, LLCGroup PAC ID 3779769971, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.65 of 100Reported as group

Quality

80.56

Improvement activities

40

Cost

71.41

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Evidence Physical Therapy, LLC

  dba EvidencePT

  • Physical Therapy Clinic/Center
  • Glenn Dale, MD
  • NPI 1831493030

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1831590561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GLENEIDA AVE STE A",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121222",
            "telephone_number": "845-228-7000",
            "fax_number": "845-228-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GLENEIDA AVE STE A",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121222",
            "telephone_number": "845-228-7000",
            "fax_number": "845-228-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMALWALA",
        "first_name": "AVAN",
        "middle_name": "M.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Puttress, DVM
• Faisal Ahsan Qayum, MD
• Laurie Ann Quackenbush, LMHC
• Elizabeth Quinn, M.D.
• Abdul Rahim, DO
• Ataollah Rajabnejad, MD
• Antoinette Ramos
• Shante Ramsden-Myton
• Kishore N Ranade, MD
• Asura Kareia Randolph

• Physical Therapist in Carmel, NY
• Providers in Carmel, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.