Active NPI
Aditi Dawar
- Physical Therapist
- Goshen, IN
National Provider Identifier
1225570674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05012084A
- Practice address
- 1332 Waterford Cir
Goshen, IN 46526-6009 - Phone
- (574) 534-3920
- NPI assigned
- Nov 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 05012084A | IN | Primary |
Addresses
Primary practice location
1332 Waterford Cir
Goshen, IN 46526-6009
Mailing address
22366 Stillwater CT Apt 3a
Elkhart, IN 46516-8958
Phone (574) 606-4984
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012084A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1225570674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22366 STILLWATER CT APT 3A",
"city": "ELKHART",
"state": "IN",
"postal_code": "465168958",
"telephone_number": "574-606-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 WATERFORD CIR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266009",
"telephone_number": "574-534-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWAR",
"first_name": "ADITI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012084A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.