Individual provider Active NPI

Nikunj H Kalivada, PT

  • Physical Therapist
  • Alvin, TX
National Provider Identifier
1144533514
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1217022 Issued in TX
Practice address
1112 Smith Dr
Alvin, TX 77511
Phone
(281) 331-6125
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1217022 TX Primary

Addresses

Primary practice location

1112 Smith Dr
Alvin, TX 77511

Mailing address

3726 Ashford Bridge LN
Pearland, TX 77584-5180
Phone (281) 331-6125

Other practice location 1

152 Islip Ave
15
Islip, NY 11751
Phone (631) 277-6767 ext. 207

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1217022TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy and Wellness PC Multi-Specialty PastSince Mar 13, 2012 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1144533514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 ASHFORD BRIDGE LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845180",
            "telephone_number": "281-331-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SMITH DR",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "281-331-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Islip Ave",
            "address_2": "15",
            "address_purpose": "LOCATION",
            "city": "Islip",
            "state": "NY",
            "postal_code": "11751",
            "country_code": "US",
            "telephone_number": "631-277-6767 x207",
            "fax_number": "631-277-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALIVADA",
        "first_name": "NIKUNJ",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1217022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.