Kahani Sourabh Antani, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

308 Sir Brine Dr
Lewisville, TX 75056-5885

Phone

(972) 979-9453

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• On Point MVP LLC

  • Rehabilitation Clinic/Center
  • Richardson, TX
  • NPI 1811604242

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1164022463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SIR BRINE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565885",
            "telephone_number": "972-979-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SIR BRINE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565885",
            "telephone_number": "972-979-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTANI",
        "first_name": "KAHANI",
        "middle_name": "SOURABH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Andress, PTA
• Shatavia Nicole Andrews, MS, LPC
• Angel Santiago Jr., D.C., P.a.
• Anil Nanda, M.D., P.a.
• Maya Anil, RN
• Anthem Home Care, Inc.
• Amy Anthony
• Raji Anup, NP
• Anziano Corp
• Apple Gate Health Services, Inc

• Physical Therapist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.