Individual provider Active NPI

Radhika Gupta, PT

  • Physical Therapist
  • Rockville Centre, NY
National Provider Identifier
1891389094
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046393 Issued in NY
Practice address
1010 Sunrise Hwy Ste 2
Rockville Centre, NY 11570-5100
Phone
(516) 442-5164
NPI assigned
Feb 27, 2021
Last updated
Feb 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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 046393 NY Primary

Addresses

Primary practice location

1010 Sunrise Hwy Ste 2
Rockville Centre, NY 11570-5100

Mailing address

33 Court House PL Apt 1
Jersey City, NJ 07306-1701
Phone (201) 595-9799

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

LicenseStateTypeSpecialty
046393NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Core Physical Therapy PC CurrentSince Mar 7, 2021 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist PastSince Mar 7, 2021 Accepting new patients

Locations

1010 Sunrise Hwy
Ste 2
Rockville Ctr, NY 11570
Phone (516) 442-5164

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1891389094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 COURT HOUSE PL APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061701",
            "telephone_number": "201-595-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SUNRISE HWY STE 2",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705100",
            "telephone_number": "516-442-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RADHIKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.