Active NPI
Elise Shanthani Vadiveloo
- Physical Therapist
- Herriman, UT
National Provider Identifier
1215891221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14212533-2401
- Practice address
- 14787 S Academy Pkwy
Herriman, UT 84096-2077 - Phone
- (385) 434-3118
- NPI assigned
- Dec 13, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14212533-2401 | UT | Primary |
Addresses
Primary practice location
14787 S Academy Pkwy
Herriman, UT 84096-2077
Mailing address
152 E Midvillage Blvd Apt 209
Sandy, UT 84070-1375
Phone (385) 464-7942
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14212533-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765584000000",
"number": "1215891221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 E MIDVILLAGE BLVD APT 209",
"city": "SANDY",
"state": "UT",
"postal_code": "840701375",
"telephone_number": "385-464-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14787 S ACADEMY PKWY",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840962077",
"telephone_number": "385-434-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADIVELOO",
"first_name": "ELISE",
"middle_name": "SHANTHANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-13",
"last_updated": "2025-12-13",
"certification_date": "2025-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14212533-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.