Individual provider Active NPI

Rima A. Mahida, P.T.

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1265953574
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012426 Issued in GA
Practice address
322 Commercial Dr
Savannah, GA 31406-3625
Phone
(912) 499-0836
Fax
(912) 257-7306
NPI assigned
Jun 28, 2017
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 PT012426 GA Primary

Addresses

Primary practice location

322 Commercial Dr
Savannah, GA 31406-3625

Mailing address

322 Commercial Dr
Savannah, GA 31406-3625
Phone (912) 499-0836

Other names 1

  • Rima Atodaria Former name

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
PT012426GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ear Nose & Throat, LLC PastSince Apr 1, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1265953574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063625",
            "telephone_number": "912-499-0836",
            "fax_number": "912-257-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063625",
            "telephone_number": "912-499-0836",
            "fax_number": "912-257-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHIDA",
        "first_name": "RIMA",
        "middle_name": "A.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIMA",
            "last_name": "ATODARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.