Active NPI
Neelu Mishra, PT,DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1932335684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026970
- Practice address
- 315 E 113TH St
New York, NY 10029-2207 - Phone
- (212) 876-1829
- NPI assigned
- Jun 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 026970 | NY | |
| Physical Therapist | 225100000X | 026970 | NY | Primary |
Addresses
Primary practice location
315 E 113TH St
New York, NY 10029-2207
Mailing address
144 E Allendale Rd
Saddle River, NJ 07458-2719
Other practice location 1
65 Court St
Brooklyn, NY 11201-4916
Phone (718) 935-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04519155 | Medicaid | NY | |
| 1295086775 | Other | NY | NPI |
Other names 1
- Neelu Sharma
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 |
|---|---|---|---|
| 026970 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura Fontaine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1942627062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1932335684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 E ALLENDALE RD",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074582719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E 113TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100292207",
"telephone_number": "212-876-1829"
}
],
"practiceLocations": [
{
"address_1": "65 Court St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112014916",
"country_code": "US",
"telephone_number": "718-935-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHRA",
"first_name": "NEELU",
"credential": "PT,DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "026970",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04519155",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1295086775",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NEELU",
"last_name": "SHARMA",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.