Active NPI
Atharva Hegishte
- Physical Therapist
- Southport, CT
National Provider Identifier
1053222745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15585
- Practice address
- 3683 Post Rd
Southport, CT 06890-1113 - Phone
- (475) 209-8900
- NPI assigned
- Sep 14, 2026
- Sex
- Male
- 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 | 15585 | CT | Primary |
Addresses
Primary practice location
3683 Post Rd
Southport, CT 06890-1113
Mailing address
PO Box 417594
Boston, MA 02241-7594
Phone (914) 435-7768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1053222745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417594",
"city": "BOSTON",
"state": "MA",
"postal_code": "022417594",
"telephone_number": "914-435-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3683 POST RD",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901113",
"telephone_number": "475-209-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGISHTE",
"first_name": "ATHARVA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "15585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.