Individual provider Active NPI

Anuja Shashipadme, PT, DPT

  • Physical Therapist
  • Live Oak, TX
National Provider Identifier
1316518285
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1345184 Issued in TX
Practice address
7909 Pat Booker Rd
Live Oak, TX 78233-2602
Phone
(210) 653-2400
Fax
(210) 653-2422
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1345184 TX
Physical Therapist 225100000X 1345184 TX Primary

Addresses

Primary practice location

7909 Pat Booker Rd
Live Oak, TX 78233-2602

Mailing address

8627 Cinnamon Creek Dr Ste 402
San Antonio, TX 78240-1482
Phone (210) 653-2400

Other practice location 1

5667 Fm Rd. 1488
Magnolia, TX 77354
Phone (408) 568-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210901001497 TX Practitioner - Physical Therapist in Private Practice 9234535162 Reassigns benefits to 2 organizations
I20240718004149 WA Practitioner - Physical Therapist in Private Practice 9234535162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kitsap Physical Therapy and Sports Clinic PS IncGroup PAC ID 6507762333, 142 clinicians

Practice addresses (Care Compare)

2400 NW Myhre Rd
Suite 102
Silverdale, WA 98383-7672
Phone (360) 613-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1345184TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership CurrentSince Jun 1, 2021 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

7909 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 590-7412

5667 FM 1488 Rd
Ste C
Magnolia, TX 77354
Phone (281) 440-7625

4899 Highway 6
Ste 212C
Missouri City, TX 77459
Phone (346) 371-2121

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 5

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1316518285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR STE 402",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401482",
            "telephone_number": "210-653-2400",
            "fax_number": "210-653-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 PAT BOOKER RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332602",
            "telephone_number": "210-653-2400",
            "fax_number": "210-653-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5667 Fm Rd. 1488",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "77354",
            "country_code": "US",
            "telephone_number": "408-568-9244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHASHIPADME",
        "first_name": "ANUJA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1345184",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1345184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.