RICHMOND PHYSICAL THERAPY, PC
NPI 1053644153
Physical Therapist in Staten Island, NY

Active since September 08, 2009
1785 FOREST AVE, STATEN ISLAND, NY 10303(646) 820-5669 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2024, Apr 11, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Richmond Physical Therapy, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHMOND PHYSICAL THERAPY, PC (NPI 1053644153) is a healthcare organization registered as a physical therapist in Staten Island, New York and active in the NPI registry since September 2009. The organization maintains 3 additional practice locations and lists Madhurani Prakash Mahajan, Director, as its authorized official.

NPPES Registry Identity

NPI1053644153
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameRICHMOND PHYSICAL THERAPY, PC
Location Address1785 FOREST AVEStaten Island, NY 10303-2107
Mailing Address1785 Forest AveStaten Island, NY 10303-2107 · (646) 820-5669 · Fax (646) 368-8339
Organization SubpartNo
Authorized OfficialMadhurani Prakash MahajanDirector · (646) 820-5669
Enumeration DateSeptember 8, 2009
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1053644153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 28520-1
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1785 FOREST AVE, Staten Island, NY 10303

Secondary Practice Locations 3

Location 1158 Main St Ste 100Matawan, NJ 07747-3178 · Phone (646) 820-5669 · Fax (646) 368-8339
Location 23377 Richmond AveStaten Island, NY 10312-2025 · Phone (646) 820-5669
Location 32627 Hylan Blvd Ste A2Staten Island, NY 10306-4344 · Phone (646) 820-5669

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richmond Physical Therapy, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120308000224Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Richmond Physical Therapy, PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice18
Physical Medicine and Rehabilitation1

Clinicians, nearest first (19)

Physical Therapist in Private Practice
NPI 1285769588
1785 FOREST AVE
Staten Island, NY 10303
(646) 820-5669
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1477287795
1785 FOREST AVE
Staten Island, NY 10303
(646) 820-5669
✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1700425592
1785 FOREST AVE
Staten Island, NY 10303
(646) 820-5669
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1831854280
1785 FOREST AVE
Staten Island, NY 10303
(646) 820-5669
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1427944123
1785 FOREST AVE
Staten Island, NY 10303
(646) 820-5669
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1841956000
1785 FOREST AVE
Staten Island, NY 10303
(646) 820-5669
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1871297598
1785 FOREST AVE
Staten Island, NY 10303
(646) 820-5669
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1497516306
1785 FOREST AVE
Staten Island, NY 10303
(646) 820-5669
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1861001927
2627 HYLAN BLVD STE A2
Staten Island, NY 10306
(646) 820-5669
✔ Accepts Medicare4.4 mi
Physical Therapist in Private Practice
NPI 1932723368
3377 RICHMOND AVE
Staten Island, NY 10312
(646) 820-5669
✔ Accepts Medicare4.9 mi
Physical Therapist in Private Practice
NPI 1184907586
3377 RICHMOND AVE
Staten Island, NY 10312
(646) 820-5669
✔ Accepts Medicare4.9 mi
Physical Therapist in Private Practice
NPI 1659010411
3377 RICHMOND AVE
Staten Island, NY 10312
(646) 820-5669
✔ Accepts Medicare4.9 mi
Physical Therapist in Private Practice
NPI 1336610443
3377 RICHMOND AVE
Staten Island, NY 10312
(646) 820-5669
✔ Accepts Medicare4.9 mi
Physical Therapist in Private Practice
NPI 1689339335
382 BALDWIN AVE APT 3
Jersey City, NJ 07306
(240) 782-5141
✔ Accepts Medicare9.0 mi
Physical Therapist in Private Practice
NPI 1760378459
235 W 75TH ST
New York, NY 10023
(646) 518-5559
✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1417438698
158 MAIN ST STE 100
Matawan, NJ 07747
(732) 931-4699
✔ Accepts Medicare15 mi
Physical Therapist in Private Practice
NPI 1720976657
636 W 174TH ST APT 2A
New York, NY 10033
(615) 710-0712
✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1609393883
225 N CENTER DR
North Brunswick, NJ 08902
(201) 430-5772
✔ Accepts Medicare22 mi
Physical Therapist in Private Practice
NPI 1881286300
110 MAIN ST
Oxford, NC 27565
(919) 853-7183
✔ Accepts Medicare383 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richmond Physical Therapy, PC's NPI number?

The NPI number for Richmond Physical Therapy, PC is 1053644153. It was assigned to this organization in the NPPES registry on September 8, 2009.

Where is Richmond Physical Therapy, PC located?

Richmond Physical Therapy, PC is located at 1785 Forest Ave, Staten Island, NY 10303. The listed phone number is (646) 820-5669.

What is Richmond Physical Therapy, PC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Richmond Physical Therapy, PC enrolled in Medicare?

Yes. Richmond Physical Therapy, PC is registered in the Medicare PECOS enrollment system.

When is Richmond Physical Therapy, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Richmond Physical Therapy, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Richmond Physical Therapy, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (18) and Physical Medicine and Rehabilitation (1). Of these, 8 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Richmond Physical Therapy, PC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.