Active NPI
Shanthi V Venkat
- Cardiopulmonary Physical Therapist
- Toledo, OH
National Provider Identifier
1053400903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiopulmonary Physical Therapist
- License
- 5501005886
- Practice address
- 3333 Glendale Ave
Department of Veterans Affairs
Toledo, OH 41614 - Phone
- (419) 259-2037
- Fax
- (419) 259-2008
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Cardiopulmonary Physical Therapist | 2251C2600X | 5501005886 | MI | Primary |
Addresses
Primary practice location
3333 Glendale Ave
Department of Veterans Affairs
Toledo, OH 41614
Mailing address
13984 Eckel Junction Rd
Perrysburg, OH 43551-5711
Phone (418) 872-1644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005886 | MI | MD | Cardiopulmonary Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053400903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13984 ECKEL JUNCTION RD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515711",
"telephone_number": "418-872-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 GLENDALE AVE",
"address_2": "DEPARTMENT OF VETERANS AFFAIRS",
"city": "TOLEDO",
"state": "OH",
"postal_code": "41614",
"telephone_number": "419-259-2037",
"fax_number": "419-259-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKAT",
"first_name": "SHANTHI",
"middle_name": "V",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "MI",
"license": "5501005886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.