Individual provider Active NPI

Neha Goregaonkar

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1245502491
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3178 Issued in AR
Practice address
13500 Chenal Pkwy
Apt # 1802
Little Rock, AR 72211-5389
Phone
(501) 837-4799
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3178 AR Primary
Physical Therapist 225100000X 5501014005 MI

Addresses

Primary practice location

13500 Chenal Pkwy
Apt # 1802
Little Rock, AR 72211-5389

Mailing address

13500 Chenal Pkwy
Apt # 1802
Little Rock, AR 72211-5389
Phone (501) 837-4799

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

LicenseStateTypeSpecialty
PT3178ARMDPhysical Therapist
5501014005MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1245502491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 CHENAL PKWY",
            "address_2": "APT # 1802",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115389",
            "telephone_number": "501-837-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 CHENAL PKWY",
            "address_2": "APT # 1802",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115389",
            "telephone_number": "501-837-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREGAONKAR",
        "first_name": "NEHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3178",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.