Individual provider Active NPI

Priyanka Vijay Purohit, P.T.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1871297598
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050136-01 Issued in NY
Practice address
1785 Forest Ave
Staten Island, NY 10303-2107
Phone
(646) 820-5669
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 050136-01 NY Primary

Addresses

Primary practice location

1785 Forest Ave
Staten Island, NY 10303-2107

Mailing address

1785 Forest Ave
Staten Island, NY 10303-2107
Phone (646) 820-5669

Other practice location 1

3377 Richmond Ave
Staten Island, NY 10312-2035
Phone (646) 820-5669

Other practice location 2

2627 Hylan Blvd
Staten Island, NY 10306-4344
Phone (646) 820-5669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251007003074 NY Practitioner - Physical Therapist in Private Practice 9739686783 Reassigns benefits to 1 organization
I20260617002013 NJ Practitioner - Physical Therapist in Private Practice 9739686783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Physical Therapy, PC 15 clinicians
Trinity Rehab Somerset PA 57 clinicians

Practice addresses (Care Compare)

1785 Forest Ave
Staten Island, NY 10303-2107
Phone (646) 820-5669

84 Veronica Ave
Suite And1016
Somerset, NJ 08873-3529
Phone (800) 518-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050136-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Physical Therapy, PC Physical Therapist CurrentSince Oct 2, 2025 Accepting new patients
Freedom Physical Therapy, P.C. PastSince Oct 2, 2025 Accepting new patients

Locations

1785 Forest Ave
Staten Island, NY 10303
Phone (646) 820-5669

3377 Richmond Ave
Staten Island, NY 10312
Phone (646) 820-5669

Organizations & group practices 4

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1871297598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032107",
            "telephone_number": "646-820-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032107",
            "telephone_number": "646-820-5669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3377 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103122035",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2627 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103064344",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUROHIT",
        "first_name": "PRIYANKA VIJAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050136-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.