Punith Kumar Shivapura Nanjundaiah, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213224 Issued in VA

Practice address

3600 Pointe Center CT Ste 110
Dumfries, VA 22026-2670

Phone

(757) 523-1790

NPI assigned

Apr 15, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sentara Therapy Solutions LLCGroup PAC ID 8325370380, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sentara Therapy Solutions, LLC

  • Physical Therapist
  • Norfolk, VA
  • NPI 1316590789
  Medicare reassignment Care Compare group NPD
• Sentara Therapy Solutions, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1972137032
  NPD
• Potomac Hospital Corporation of Prince William

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1023699790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 POINTE CENTER CT STE 110",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262670",
            "telephone_number": "757-523-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 POINTE CENTER CT STE 110",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262670",
            "telephone_number": "757-523-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4565 Daisy Reid Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221925672",
            "country_code": "US",
            "telephone_number": "703-523-8752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVAPURA NANJUNDAIAH",
        "first_name": "PUNITH KUMAR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Sequeira, FNP, RN
• Serenite Medical & Spa Inc
• Shadfem LLC
• Shalonda Nichole Beauty LLC
• Tamim Shams
• Siesta Health Services PC
• Siglavy It Technologies LLC
• Simply Present Counseling LLC
• Ravinder P Singh, M.D.
• Indira Sinha, MD

• Physical Therapist in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.

Verify at the official NPI Registry.