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Maitry Damanwala

NPI 1720689425ActiveIndividual· Physical Therapist· Staten Island, NY

Physical Therapist with Prestige Rehab LLC and 3 other groups, practicing in Staten Island, New York. Medicare paid $83,740 for services to 50 patients in 2024.

Overview

NPI1720689425
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedNov 8, 2020
Last updated in NPPESNov 8, 2020
Certified by providerNov 8, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (NJ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients50
Services billed4,097 across 11 procedure codes
Paid by Medicare$83,740

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysical Therapist In Private Practice

Medical groups

Source: CMS Care Compare

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