Individual provider Active NPI

Sneha Dhareshwar

  • Physical Therapist
  • New York, NY
National Provider Identifier
1902159783
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034057
Practice address
39 E 78TH St Ste 402
New York, NY 10075-0215
Phone
(212) 439-9303
Fax
(212) 744-4481
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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 034057 Primary

Addresses

Primary practice location

39 E 78TH St Ste 402
New York, NY 10075-0215

Mailing address

9711 Horace Harding Expy Apt 15B
Corona, NY 11368-4707
Phone (570) 903-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130221000115 NY Practitioner - Physical Therapist in Private Practice 8921253048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy Ny PCGroup PAC ID 3971643750, 6 clinicians

Practice addresses (Care Compare)

22215 Northern Blvd
Suite LLC
Bayside, NY 11361-3603
Phone (718) 225-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy Ny PC Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients
Spark Health Physical Therapy P.C. Physical Therapist Current Accepting new patients
Physiocare Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

22215 Northern Blvd
Ste Llc
Bayside, NY 11361
Phone (718) 225-7500

22215 Northern Blvd
Flushing, NY 11361
Phone (718) 225-7500

Organizations & group practices 3

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1902159783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 HORACE HARDING EXPY APT 15B",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684707",
            "telephone_number": "570-903-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E 78TH ST STE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750215",
            "telephone_number": "212-439-9303",
            "fax_number": "212-744-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARESHWAR",
        "first_name": "SNEHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "034057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.