Individual provider Active NPI

Kuntalbhai Patel, PT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1831749514
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044751 Issued in NY
Practice address
14204 Bayside Ave Ste 8L
Flushing, NY 11354-2300
Phone
(718) 445-6477
Fax
(718) 445-6933
NPI assigned
Sep 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 044751 NY Primary

Addresses

Primary practice location

14204 Bayside Ave Ste 8L
Flushing, NY 11354-2300

Mailing address

14204 Bayside Ave Ste 8L
Flushing, NY 11354-2300
Phone (718) 445-6477

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherOH044751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address goshenptcare@optonline.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000563 NY Practitioner - Physical Therapist in Private Practice 1153753348 Reassigns benefits to 6 organizations
Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians
Hannah H. Hwang Family Health NP P.C.Group PAC ID 0042463291, 3 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

14204 Bayside Ave
Suite 8L
Flushing, NY 11354-2300
Phone (718) 445-6477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RC Recovery Inc CurrentSince Apr 23, 2023 Accepting new patients
Anchor Health Homecare Services Inc Single Specialty CurrentSince Aug 5, 2022 Accepting new patients
Core Physical Therapy Services PC Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
Goshen Physical Therapy P.C Single Specialty CurrentSince Oct 1, 2019 Accepting new patients
Hannah H. Hwang Family Health NP P.C. Single Specialty CurrentSince Nov 1, 2019 Accepting new patients
Precision PT, OT & SLP Services, PLLC Single Specialty CurrentSince Jun 21, 2022 Accepting new patients
Yk Physical Therapy PLLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Esd PT OT & SLP PLLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Rehab on Wheels OT PT PLLC Single Specialty CurrentSince Jul 18, 2021 Accepting new patients
Prokinetics Physical Therapy P.C. Single Specialty CurrentSince Jul 5, 2023 Accepting new patients

Locations

685 River Ave
Lakewood, NJ 08701
Phone (732) 364-3772

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

14204 Bayside Ave
Ste 8L
Flushing, NY 11354
Phone (718) 445-6477

78 Stratton St S
Yonkers, NY 10701
Phone (732) 364-3772

Organizations & group practices 10

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1831749514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14204 BAYSIDE AVE STE 8L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542300",
            "telephone_number": "718-445-6477",
            "fax_number": "718-445-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14204 BAYSIDE AVE STE 8L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542300",
            "telephone_number": "718-445-6477",
            "fax_number": "718-445-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUNTALBHAI",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "044751",
            "identifier": "LICENSE",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "goshenptcare@optonline.net",
            "affiliation": "N",
            "endpointDescription": "DIRECT EMAIL",
            "address_1": "14204 Bayside Ave Ste 8L",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113542300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.