Individual provider Active NPI

Riddhi Rashmikant Ghevariya, P.T.

  • Physical Therapist
  • Johns Creek, GA
National Provider Identifier
1053794750
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1255911 Issued in TX
Practice address
801 Bristol Trce # 801
Johns Creek, GA 30022-1093
Phone
(732) 771-6620
NPI assigned
Jun 30, 2015
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1255911 TX Primary
Geriatric Physical Therapist 2251G0304X 1255911 TX

Addresses

Primary practice location

801 Bristol Trce # 801
Johns Creek, GA 30022-1093

Mailing address

801 Bristol Trce
Johns Creek, GA 30022-1093
Phone (732) 771-6620

Other names 1

  • Riddhi Virendra Jariwala Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1255911TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sofia Wiltens LPT Physical Therapist PastSince Aug 1, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1053794750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BRISTOL TRCE",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300221093",
            "telephone_number": "732-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRISTOL TRCE # 801",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300221093",
            "telephone_number": "732-771-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEVARIYA",
        "first_name": "RIDDHI",
        "middle_name": "RASHMIKANT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1255911",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1255911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIDDHI",
            "last_name": "JARIWALA",
            "middle_name": "VIRENDRA",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.