Active NPI
Jankhana Trivedi
- Physical Therapist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6337
- Practice address
- 2935 Baseline Rd
102
Boulder, CO 80303-2366 - Phone
- (303) 247-0028
- Fax
- (303) 247-0826
- NPI assigned
- Jan 27, 2011
- 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 | 6337 | CO | Primary |
Addresses
Primary practice location
2935 Baseline Rd
102
Boulder, CO 80303-2366
Mailing address
14091 Pinehurst Cir
Broomfield, CO 80023-4553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Celebration Blvd
Suwanee, GA 30024-1054
Phone (770) 629-3603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| Piedmont Orthopedics, LLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Current | Accepting new patients | |
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| Orthoatlanta, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812
1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771
6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261
620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812
Interoperability endpoints
- https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
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.
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- NPI 1851937114
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1114317062
-
- Orthopaedic Surgery Physician
- Evans, GA
- NPI 1679251920
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1053617779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14091 PINEHURST CIR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800234553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 BASELINE RD",
"address_2": "102",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032366",
"telephone_number": "303-247-0028",
"fax_number": "303-247-0826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "JANKHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "6337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.