Active NPI
Ambika Devacaanthan, MSPT
- Physical Therapist
- New York, NY
National Provider Identifier
1922148337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 030235
- Practice address
- 317 W 82ND St
Apt 2a
New York, NY 10024-5335 - Phone
- (954) 684-8234
- NPI assigned
- Feb 7, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 21181 | FL | |
| Physical Therapist | 225100000X | PT 030235 | NY | Primary |
| Physical Therapist | 225100000X | 22 030235 | NY |
Addresses
Primary practice location
317 W 82ND St
Apt 2a
New York, NY 10024-5335
Mailing address
317 W 82ND St
Apt 2a
New York, NY 10024-5335
Phone (954) 684-8234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
317 W 82ND St
New York, NY 10024-5335
Phone (954) 684-8234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 21181 | FL | MD | Physical Therapist |
| 22 030235 | NY | MD | Physical Therapist |
| PT 030235 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Rehab and Home Care PT & OT, PLLC | Physical Therapist | Current | Accepting new patients |
| Deva Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616
143 E Ridgewood Ave
Unit 309
Ridgewood, NJ 07451
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 and National Provider Directory roles.
-
- Physical Therapist
- New York, NY
- NPI 1619251121
-
- Occupational Therapist
- Long Island City, NY
- NPI 1093084634
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1922148337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 W 82ND ST",
"address_2": "APT 2A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245335",
"telephone_number": "954-684-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W 82ND ST",
"address_2": "APT 2A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245335",
"telephone_number": "954-684-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVACAANTHAN",
"first_name": "AMBIKA",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 21181",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "PT 030235",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "22 030235",
"primary": false
}
],
"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 3, 2011; 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.