Individual ProviderKrishma Sanjay BhattPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3377 Richmond Ave, Staten Island, NY 10312-2035(646) 820-5669PECOS EnrollmentBased on the most recent information from CMS, provider Krishma Sanjay Bhatt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1932723368Provider TypeIndividualFull NameBhatt, Krishma SanjayCredentialPT, DPTGenderFemaleSole ProprietorYesEnumeration Date6/1/2020Last Updated4/4/2022Contact InformationPractice LocationPractice Address3377 Richmond Ave, Staten Island, NY 10312-2035Phone(646) 820-5669Fax(646) 368-8339Mailing LocationMailing Address1785 Forest Ave, Staten Island, NY 10303-2107Phone(646) 820-5669Fax(646) 368-8339Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID044523-01DescriptionOtherIssuerNY BOARD OF PHYSICAL THERAPYNew York