Active NPI
Shinu Varghese, PT
- Physical Therapist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206437
- Practice address
- 6401 Auburn Dr
Virginia Beach, VA 23464-3601 - Phone
- (757) 420-1485
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305206437 | VA | Primary |
Addresses
Primary practice location
6401 Auburn Dr
Virginia Beach, VA 23464-3601
Mailing address
2624 Bombay LNDG
Virginia Beach, VA 23456-0109
Phone (757) 318-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10133 Sherrill Blvd
Suite 200
Knoxville, TN 37932-3347
500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
Locations
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
1600 Westwood Ave
Richmond, VA 23227
Phone (804) 355-5721
1410 N Augusta St
#A
Staunton, VA 24401
3317 Ocean Shore Ave
Virginia Beach, VA 23451
Phone (757) 232-3179
Organizations & group practices 1
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": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1356778690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 BOMBAY LNDG",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560109",
"telephone_number": "757-318-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 AUBURN DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643601",
"telephone_number": "757-420-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "SHINU",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.