Individual provider Active NPI

Rakhi Bhagwandas Shivani, PT

  • Physical Therapist
  • Murfreesboro, TN
National Provider Identifier
1154855286
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13270 Issued in TN
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

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13270OtherTNTENNESSEE STATE PHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 2668661497, 8 clinicians

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

LicenseStateTypeSpecialty
26478MDMDSocial Worker
13277TNMDFamily Medicine Physician
13270TNMDPhysical Therapist
1265128TXMDOrthopedic 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.

Verify at the official NPI Registry.