Individual provider Active NPI

Sakshi Nandal, DPT

  • Physical Therapist
  • Shelbyville, IN
National Provider Identifier
1306489901
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP021994T Issued in DE
Practice address
310 Duran Dr
Shelbyville, IN 46176-1986
Phone
(317) 421-0244
Fax
(317) 421-0245
NPI assigned
Oct 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 043864-1 NY
Physical Therapist 225100000X CP021994T DE Primary

Addresses

Primary practice location

310 Duran Dr
Shelbyville, IN 46176-1986

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

5 Pace Farm Rd
Califon, NJ 07830-3418
Phone (908) 809-0004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623000653 IN Practitioner - Physical Therapist in Private Practice 9830526482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians
Cloud Nine Physical TherapyGroup PAC ID 2668996802, 2 clinicians

Practice addresses (Care Compare)

310 Duran Dr
Shelbyville, IN 46176-1986
Phone (317) 421-0244

5370 E Thompson Rd
Suite G
Indianapolis, IN 46237-2107
Phone (908) 328-4611

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043864-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
Cloud Nine Physical Therapy Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4625 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 522-2303

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

5370 E Thompson Rd
Ste G
Indianapolis, IN 46237
Phone (317) 734-3430

310 Duran Dr
Shelbyville, IN 46176
Phone (317) 421-0244

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, 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": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1306489901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 DURAN DR",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761986",
            "telephone_number": "317-421-0244",
            "fax_number": "317-421-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Pace Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Califon",
            "state": "NJ",
            "postal_code": "078303418",
            "country_code": "US",
            "telephone_number": "908-809-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANDAL",
        "first_name": "SAKSHI",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043864-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "CP021994T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.