Active NPI
Anna Elisa Nesheiwat, ELISA NESHEIWAT
- Orthopedic Physical Therapist
- Carmel, NY
National Provider Identifier
1871898049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 021222-1
- Practice address
- 664 Stoneleigh Aveenue
Putnam Hospital Center
Carmel, NY 10512-6141 - Phone
- (845) 279-1785
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 9063 | MA | |
| Orthopedic Physical Therapist | 2251X0800X | 021222-1 | NY | Primary |
Addresses
Primary practice location
664 Stoneleigh Aveenue
Putnam Hospital Center
Carmel, NY 10512-6141
Mailing address
342 Fair St
Fair Street
Carmel, NY 10512-6141
Phone (845) 225-2611
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 |
|---|---|---|---|
| 021222-1 | NY | MD | Orthopedic Physical Therapist |
| 9063 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1871898049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 FAIR ST",
"address_2": "FAIR STREET",
"city": "CARMEL",
"state": "NY",
"postal_code": "105126141",
"telephone_number": "845-225-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 STONELEIGH AVEENUE",
"address_2": "PUTNAM HOSPITAL CENTER",
"city": "CARMEL",
"state": "NY",
"postal_code": "105126141",
"telephone_number": "845-279-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESHEIWAT",
"first_name": "ANNA",
"middle_name": "ELISA",
"name_prefix": "Mrs.",
"credential": "ELISA NESHEIWAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "9063",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "021222-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.