Active NPI
Vishwa Bhargav Bhalodia, PHYSICAL THERAPIST
- Physical Therapist
- Holly Springs, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17223
- Practice address
- 500 Village Walk Dr
Holly Springs, NC 27540-4440 - Phone
- (919) 258-2200
- NPI assigned
- Jul 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P17223 | NC | Primary |
Addresses
Primary practice location
500 Village Walk Dr
Holly Springs, NC 27540-4440
Mailing address
PO Box 412313
Boston, MA 02241-2313
Phone (914) 294-4050
Other practice location 1
2119 Crigan Bluff Dr
Cary, NC 27513-8352
Phone (919) 592-2718
Other practice location 2
2119 Crigan Bluff Dr
Cary, NC 27513-8352
Phone (919) 592-2718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210601000510 | NC | Practitioner - Physical Therapist in Private Practice | 3274932975 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab North Carolina LLC
Practice addresses (Care Compare)
500 Village Walk Dr
Holly Springs, NC 27540-4440
Phone (919) 258-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17223 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of NC PC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab North Carolina LLC | Current | Accepting new patients |
Locations
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
500 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 258-2200
Organizations & group practices 6
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.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
NC, Physical Therapist
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
NC, Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1013439249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412313",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412313",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VILLAGE WALK DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404440",
"telephone_number": "919-258-2200"
}
],
"practiceLocations": [
{
"address_1": "2119 Crigan Bluff Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275138352",
"country_code": "US",
"telephone_number": "919-592-2718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2119 Crigan Bluff Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275138352",
"country_code": "US",
"telephone_number": "919-592-2718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHALODIA",
"first_name": "VISHWA",
"middle_name": "BHARGAV",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.