Active NPI
Pranav Navinchandra Trivedi, PT
- Physical Therapist
- Winter Haven, FL
National Provider Identifier
1144453531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- FLPT25851
- Practice address
- 650 N Lake Howard Dr
Winter Haven, FL 33881-3162 - Phone
- (863) 293-4456
- NPI assigned
- Sep 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | FLPT25851 | FL | Primary |
| Physical Therapist | 225100000X | 031581 | NY |
Addresses
Primary practice location
650 N Lake Howard Dr
Winter Haven, FL 33881-3162
Mailing address
650 N Lake Howard Dr
Winter Haven, FL 33881-3162
Phone (863) 293-4456
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLPT25851 | FL | MD | Physical Therapist |
| 031581 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N.R. Medical, P.C | Past | Accepting new patients | |
| Greater New York Physical Therapy and Chiropractic PLLC | Physical Therapist | Past | Accepting new patients |
| Doctors United, Inc | Past | Accepting new patients | |
| G. F.G Medical, P.C | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1053325894
-
- Physical Therapist
- White Plains, NY
- NPI 1093094047
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1912926007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1144453531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N LAKE HOWARD DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338813162",
"telephone_number": "863-293-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N LAKE HOWARD DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338813162",
"telephone_number": "863-293-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "PRANAV",
"middle_name": "NAVINCHANDRA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "FLPT25851",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.