Active NPI
Radhika Gupta, PT
- Physical Therapist
- Rockville Centre, NY
National Provider Identifier
1891389094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046393
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046393 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Core Physical Therapy PC | Current | Accepting new patients | |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Freeport, NY
- NPI 1275709073
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
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.