Healthcare Provider Details

I. General information

NPI: 1386558377
Provider Name (Legal Business Name): ARAGYA KHADKA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S RIDGE ST STE 300
RYE BROOK NY
10573-2838
US

IV. Provider business mailing address

111 S RIDGE ST STE 300
RYE BROOK NY
10573-2838
US

V. Phone/Fax

Practice location:
  • Phone: 914-650-3442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number015515
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: