Active NPI
Disha Bagadia
- Physical Therapist
- Woodside, NY
National Provider Identifier
1891593935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041604
- Practice address
- 6506 Roosevelt Ave
Woodside, NY 11377-2928 - Phone
- (347) 565-1875
- NPI assigned
- Mar 5, 2025
- 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 | 041604 | NY | Primary |
Addresses
Primary practice location
6506 Roosevelt Ave
Woodside, NY 11377-2928
Mailing address
1102 E 31St St Apt B3
Brooklyn, NY 11210-4706
Phone (508) 283-0805
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 |
|---|---|---|---|
| 041604 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1891593935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 E 31ST ST APT B3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104706",
"telephone_number": "508-283-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 ROOSEVELT AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772928",
"telephone_number": "347-565-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGADIA",
"first_name": "DISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.