Active NPI
Parthkumar V. Pathak, PT
- Physical Therapist
- Ellenville, NY
National Provider Identifier
1841531779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032258
- Practice address
- 10 Healthy Way
Ellenville, NY 12428-5612 - Phone
- (845) 210-3035
- NPI assigned
- Mar 1, 2013
- Last updated
- Mar 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032258 | NY | Primary |
| Physical Therapist | 225100000X | 40QA01482100 | NJ |
Addresses
Primary practice location
10 Healthy Way
Ellenville, NY 12428-5612
Mailing address
25 Cemetary Rd
Apt 3
Kerhonkson, NY 12446-2102
Phone (267) 994-1288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02094860 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01482100 | NJ | MD | Physical Therapist |
| 032258 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1841531779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CEMETARY RD",
"address_2": "APT 3",
"city": "KERHONKSON",
"state": "NY",
"postal_code": "124462102",
"telephone_number": "267-994-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HEALTHY WAY",
"city": "ELLENVILLE",
"state": "NY",
"postal_code": "124285612",
"telephone_number": "845-210-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATHAK",
"first_name": "PARTHKUMAR",
"middle_name": "V.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-01",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032258",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01482100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02094860",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.