Active NPI
Rakhi Bhagwandas Shivani, PT
- Physical Therapist
- Murfreesboro, TN
National Provider Identifier
1154855286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13270
- Practice address
- 1023 N Highland Ave
Murfreesboro, TN 37130-2450 - Phone
- (615) 624-8476
- Fax
- (615) 624-8478
- NPI assigned
- Apr 14, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP003579T | TN | |
| Physical Therapist | 225100000X | 26478 | MD | |
| Orthopedic Physical Therapist | 2251X0800X | 1265128 | TX | |
| Physical Therapist | 225100000X | 13270 | TN | Primary |
Addresses
Primary practice location
1023 N Highland Ave
Murfreesboro, TN 37130-2450
Mailing address
1023 N Highland Ave
Murfreesboro, TN 37130-2450
Phone (615) 624-8476
Other practice location 1
392 Harding Pl Ste 103
Nashville, TN 37211-9601
Phone (615) 624-8476
Other practice location 2
1707 Alpine Dr Ste A
Columbia, TN 38401-3562
Phone (615) 624-8476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13270 | Other | TN | TENNESSEE STATE PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201022002396 | TN | Practitioner - Physical Therapist in Private Practice | 2062832579 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Universal Rehab Services, Inc.
Practice addresses (Care Compare)
392 Harding PL
Suite 103
Nashville, TN 37211-9601
Phone (615) 712-6526
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26478 | MD | MD | Social Worker |
| 13277 | TN | MD | Family Medicine Physician |
| 13270 | TN | MD | Physical Therapist |
| 1265128 | TX | MD | Orthopedic Physical Therapist |
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": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1154855286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 N HIGHLAND AVE",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302450",
"telephone_number": "615-624-8476",
"fax_number": "615-624-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 N HIGHLAND AVE",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302450",
"telephone_number": "615-624-8476",
"fax_number": "615-624-8478"
}
],
"practiceLocations": [
{
"address_1": "392 Harding Pl Ste 103",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372119601",
"country_code": "US",
"telephone_number": "615-624-8476",
"fax_number": "615-624-8478",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1707 Alpine Dr Ste A",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "TN",
"postal_code": "384013562",
"country_code": "US",
"telephone_number": "615-624-8476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIVANI",
"first_name": "RAKHI",
"middle_name": "BHAGWANDAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2020-10-01",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "CP003579T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26478",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1265128",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE STATE PHYSICAL THERAPY LICENSE",
"identifier": "13270",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.