Individual provider Active NPI

Tejaswini S Shinde

  • Geriatric Physical Therapist
  • Wexford, PA
National Provider Identifier
1275834707
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
5501015374 Issued in MI
Practice address
1611 Valley Brooke CT
Wexford, PA 15090-7827
Phone
(813) 449-3222
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 5501015374 MI Primary

Addresses

Primary practice location

1611 Valley Brooke CT
Wexford, PA 15090-7827

Mailing address

1611 Valley Brooke CT
Wexford, PA 15090-7827
Phone (813) 449-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123000555 FL Practitioner - Physical Therapist in Private Practice 9436331873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Fox Rehab PT FL LLCGroup PAC ID 7416345921, 76 clinicians

Practice addresses (Care Compare)

2015 32ND Ave W
Bradenton, FL 34205-4505
Phone (941) 209-5822

2219 Chiquita Blvd S
Cape Coral, FL 33991-3291
Phone (239) 205-3654

3409 26TH St W
Bradenton, FL 34205-3600
Phone (941) 242-2369

38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419
Phone (813) 779-3780

725 Desoto Ave
Brooksville, FL 34601-2813
Phone (352) 678-3869

8213 Killearn Lakes Ter
Tallahassee, FL 32312-4144
Phone (850) 391-0979

8450 Lockwood Ridge Rd
Sarasota, FL 34243-2920
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015374MIMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc CurrentSince Jul 12, 2024 Accepting new patients
Legacy Healthcare Services, Inc Geriatrics CurrentSince Jul 12, 2024 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 4

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": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275834707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 VALLEY BROOKE CT",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907827",
            "telephone_number": "813-449-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 VALLEY BROOKE CT",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907827",
            "telephone_number": "813-449-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDE",
        "first_name": "TEJASWINI",
        "middle_name": "S",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2025-09-11",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501015374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.