Individual provider Active NPI

Nikita Shastri, DPT

  • Physical Therapist
  • Allen, TX
National Provider Identifier
1245748797
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1298943 Issued in TX
Practice address
1125 Raintree Cir Ste 100100a
Allen, TX 75013-4900
Phone
(714) 732-0746
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1298943 TX Primary

Addresses

Primary practice location

1125 Raintree Cir Ste 100100a
Allen, TX 75013-4900

Mailing address

1125 Raintree Cir Ste 100
Allen, TX 75013-5289
Phone (972) 727-9995

Other practice location 1

7600 Eldorado Parkway suite 165
McKinney, TX 75070
Phone (972) 727-9995

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Feb 1, 2019 Accepting new patients
Medhealth CurrentSince Feb 1, 2019 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

1125 Raintree Cir
Ste 100
Allen, TX 75013
Phone (972) 727-9995

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

7300 Eldorado Pkwy
Ste 165
McKinney, TX 75070
Phone (972) 727-9995

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Organizations & group practices 3

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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1245748797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 RAINTREE CIR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135289",
            "telephone_number": "972-727-9995",
            "fax_number": "972-727-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 RAINTREE CIR STE 100100A",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134900",
            "telephone_number": "714-732-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Eldorado Parkway suite 165",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "75070",
            "country_code": "US",
            "telephone_number": "972-727-9995",
            "fax_number": "972-727-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHASTRI",
        "first_name": "NIKITA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1298943",
            "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 Apr 3, 2019; 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.