Individual provider Active NPI

Birva Gandhi

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1336642255
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13610-24 Issued in WI
Practice address
9632 W Appleton Ave
Milwaukee, WI 53225-3305
Phone
(414) 535-6704
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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
Physical Therapist 225100000X 13610-24 WI Primary

Addresses

Primary practice location

9632 W Appleton Ave
Milwaukee, WI 53225-3305

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Birva Rajeshkumar Shah 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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 18, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 18, 2019 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Dec 6, 2021 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Current Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Dec 6, 2021 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

199 Cty Df
Juneau, WI 53039
Phone (262) 735-8005

10906 N Port Washington Rd
Spc 62
Mequon, WI 53092
Phone (262) 241-6777

2330 N Farwell Ave
Milwaukee, WI 53211
Phone (414) 220-9084

S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200

1769 S Main St
West Bend, WI 53095
Phone (262) 438-9943

1224 Miller Park Way
West Milwaukee, WI 53214
Phone (414) 847-2971

106 W Silver Spring Dr
Whitefish Bay, WI 53217
Phone (414) 831-0660

106 W Silver Spring Dr
Ste C
Whitefish Bay, WI 53217

Organizations & group practices 6

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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1336642255",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9632 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253305",
            "telephone_number": "414-535-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "BIRVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13610-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIRVA",
            "last_name": "SHAH",
            "middle_name": "RAJESHKUMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.