Active NPI
Tejaswini S Shinde
- Geriatric Physical Therapist
- Wexford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 5501015374
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015374 | MI | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Current | Accepting new patients | |
| Legacy Healthcare Services, Inc | Geriatrics | Current | 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.
-
- Physical Therapist
- Orlando, FL
- NPI 1336719624
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Rehabilitation Clinic/Center
- Shalimar, FL
- NPI 1407382278
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.