Sivaprasad Parnam, PT
Individual provider Active NPI Nursing Facility/Intermediate Care Facility · West Lafayette Bra, IN
NPI 1164529715 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1164529715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 05009075A (IN)
- Practice address
- 3401 Soldiers Home Rd
West Lafayette Bra, IN 47906-1222 - Phone
- (765) 463-1541
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028303 | NY | MD | Physical Therapist |
| 05009075A | IN | MD | Nursing Facility/Intermediate Care Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiva Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028303 | NY | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 05009075A | IN | Yes |
Addresses
Primary practice location
3401 Soldiers Home Rd
West Lafayette Bra, IN 47906-1222
Mailing address
2601 Soldiers Home Rd
West Lafayette Bra, IN 47906-1653
Phone (203) 517-5022
Other providers in West Lafayette Bra, IN
- Hua Li
- Malissa K Crowe, LLC
- Thomas Bruce McHenry
- Joyce Lynn Micon
- Barbara Emma Nolan
- Randall Dermatology, PC
- Barbara Ann Salmon
- Helen Therese Seifert
- Nancy J Shook
- Sigma Medical Group
All providers in West Lafayette Bra, IN · Nursing Facility/Intermediate Care Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.