Individual provider Active NPI

Nitin P Bhanti, LCO

  • Orthotist
  • Allen, TX
National Provider Identifier
1205372018
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
1840 Issued in TX
Practice address
13 Prestige Cir Ste 180
Allen, TX 75002-3453
Phone
(214) 596-9508
Fax
(214) 596-9147
NPI assigned
Jan 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 1840 TX Primary

Addresses

Primary practice location

13 Prestige Cir Ste 180
Allen, TX 75002-3453

Mailing address

PO Box 99283
Fort Worth, TX 76199-1383
Phone (682) 885-6294

Other practice location 1

1101 W Vickery Blvd
Fort Worth, TX 76104-1025
Phone (682) 885-6294

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

State licenses

LicenseStateTypeSpecialty
1840TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Childrens Home Health CurrentSince Jun 23, 2024 Accepting new patients
Cook Childrens Home Health PastSince Jun 23, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Locations

13 Prestige Cir
Ste 180
Allen, TX 75002
Phone (214) 596-9508

1101 W Vickery Blvd
Ft Worth, TX 76104
Phone (682) 885-6294

Organizations & group practices 4

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1205372018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99283",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761991383",
            "telephone_number": "682-885-6294",
            "fax_number": "682-885-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PRESTIGE CIR STE 180",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023453",
            "telephone_number": "214-596-9508",
            "fax_number": "214-596-9147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 W Vickery Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761041025",
            "country_code": "US",
            "telephone_number": "682-885-6294",
            "fax_number": "682-885-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHANTI",
        "first_name": "NITIN",
        "middle_name": "P",
        "credential": "LCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.