Individual provider Active NPI

Manasi Madhav Kamat

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1861906679
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042602-1 Issued in NY
Practice address
486 McDonald Ave
Brooklyn, NY 11218-3812
Phone
(917) 295-1025
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 042602-1 NY Primary

Addresses

Primary practice location

486 McDonald Ave
Brooklyn, NY 11218-3812

Mailing address

12 Broadway Apt 3
Jersey City, NJ 07306-5243
Phone (412) 961-5451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221024002099 TX Practitioner - Physical Therapist in Private Practice 0749536803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042602-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129

1600 Texas St
Ofc
Fort Worth, TX 76102
Phone (817) 338-3406

1600 Texas St
Ft Worth, TX 76102
Phone (817) 338-2400

Interoperability endpoints

  • Direct secure messaging: manasi.kamat.p2@direct.ucpnyc.nextgenshare.com

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": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1861906679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BROADWAY APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065243",
            "telephone_number": "412-961-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183812",
            "telephone_number": "917-295-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAT",
        "first_name": "MANASI",
        "middle_name": "MADHAV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042602-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.