Individual provider Active NPI

Rachna Kanthariya, PTA

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Flushing, NY
National Provider Identifier
1831767268
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
012942 Issued in NY
Practice address
4160 Main St Ste 201B
Flushing, NY 11355-3899
Phone
(718) 886-6696
NPI assigned
Jun 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 012942 NY Primary

Addresses

Primary practice location

4160 Main St Ste 201B
Flushing, NY 11355-3899

Mailing address

4160 Main St Ste 201B
Flushing, NY 11355-3899
Phone (718) 886-6696

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012942NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Care Medical PC CurrentSince Jun 22, 2021 Accepting new patients
Sense Physical Therapy PC PastSince Jun 22, 2021 Accepting new patients

Locations

4160 Main St
Ste 201B
Flushing, NY 11355
Phone (718) 869-1488

Organizations & group practices 2

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": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1831767268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST STE 201B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553899",
            "telephone_number": "718-886-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST STE 201B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553899",
            "telephone_number": "718-886-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTHARIYA",
        "first_name": "RACHNA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "012942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.