Individual provider Active NPI

Vagisha Vadhel, PT,MPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1356047740
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29592 Issued in FL
Practice address
6107 Memorial Hwy Ste D
Tampa, FL 33615-4564
Phone
(813) 890-3400
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29592 FL Primary

Addresses

Primary practice location

6107 Memorial Hwy Ste D
Tampa, FL 33615-4564

Mailing address

6712 W Linebaugh Ave
Tampa, FL 33625-4953

Other practice location 1

6712 W Linebaugh Ave
Tampa, FL 33625-4953
Phone (813) 450-1792

Other identifiers 1

IdentifierTypeStateIssuer
PT29592OtherFLPHYSICAL THERAPY STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604002140 FL Practitioner - Physical Therapist in Private Practice 1951810530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Specialties, LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Divine Home Health Care, Inc PastSince Feb 12, 2023 Accepting new patients

Locations

6712 W Linebaugh Ave
Tampa, FL 33625
Phone (813) 450-1792

6702 W Linebaugh Ave
Tampa, FL 33625
Phone (813) 450-1792

Organizations & group practices 2

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1356047740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 MEMORIAL HWY STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154564",
            "telephone_number": "813-890-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6712 W Linebaugh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254953",
            "country_code": "US",
            "telephone_number": "813-450-1792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADHEL",
        "first_name": "VAGISHA",
        "name_prefix": "Mrs.",
        "credential": "PT,MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY STATE LICENSE",
            "identifier": "PT29592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.