Manchhadevi Revachand Khatri

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042165-1 Issued in NY

Practice address

3960 Flatlands Ave
Brooklyn, NY 11234-3043

Phone

(718) 258-8128

Fax

(718) 258-2073

NPI assigned

Feb 20, 2020

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain and Disability Institute, P.C.Group PAC ID 5395901052, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.04 of 100Reported as group

Quality

100

Improvement activities

40

Cost

55.16

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Pain and Disability Institute, P.C.

  • Pain Medicine Physician
  • Jersey City, NJ
  • NPI 1306924725
  Medicare reassignment Care Compare group NPD
• Ambulatory Pain and Disability Management Center LLC

  • Ambulatory Surgical Clinic/Center
  • Jersey City, NJ
  • NPI 1093311276
  NPD
• Divinecare Physical Therapy LLC

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1215624630
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1861025587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343043",
            "telephone_number": "718-258-8128",
            "fax_number": "718-258-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343043",
            "telephone_number": "718-258-8128",
            "fax_number": "718-258-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "MANCHHADEVI",
        "middle_name": "REVACHAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042165-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Khatib
• Pratichhya Khatiwada
• Dilruba Khatoon, MD
• Asmita Khatri
• Jyotika Khatri
• Stacey Khatskelevich
• El Mahdi Khattabi, MD
• Nazima Khatun, MD
• Alexander Khavash, DC
• Gabrielle Daniella Khavin, AUD

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 20, 2020; 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.