Individual provider Active NPI

Thim P Nanda, MD

  • Physical Medicine & Rehabilitation Physician
  • Brookfield, WI
National Provider Identifier
1225320450
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
21954-20 Issued in WI
Practice address
3255 Town Crier CT
Brookfield, WI 53005-3017
Phone
(262) 781-2872
Fax
(262) 781-2872
NPI assigned
May 5, 2011
Last updated
May 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 21954-20 WI Primary
Physical Medicine & Rehabilitation Physician 208100000X 21954 WI

Addresses

Primary practice location

3255 Town Crier CT
Brookfield, WI 53005-3017

Mailing address

3255 Town Crier CT
Brookfield, WI 53005-3017
Phone (262) 781-2872

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21954WIMDPhysical Medicine & Rehabilitation Physician
21954-20WIMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1225320450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 TOWN CRIER CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053017",
            "telephone_number": "262-781-2872",
            "fax_number": "262-781-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 TOWN CRIER CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053017",
            "telephone_number": "262-781-2872",
            "fax_number": "262-781-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDA",
        "first_name": "THIM",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "21954-20",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "21954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.