Kelly N Sheydvasser, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01778200 Issued in NJ

Practice address

980 Shoppes Blvd
North Brunswick, NJ 08902-2776

Phone

(848) 202-1439

NPI assigned

Jan 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Inspire Pelvic Rehab LLC

  • Physical Therapist
  • Old Bridge, NJ
  • NPI 1134097744
  NPD Authorized official
• Sheydvasser Physical Therapy LLC

  dba Inspire Physical Therapy

  • Physical Therapist
  • North Brunswick, NJ
  • NPI 1700583770
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1386405330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SHOPPES BLVD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022776",
            "telephone_number": "732-947-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 SHOPPES BLVD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022776",
            "telephone_number": "848-202-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEYDVASSER",
        "first_name": "KELLY",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01778200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweta D Shah
• Shams Adult Day Care Center (Route One Adult Day Care and Wellness Center)
• Marsha N Shapiro, ACSW, LCSW, BCD
• Karan Dilipkumar Sharma, PT DPT
• Sheydvasser Physical Therapy LLC (Inspire Physical Therapy)
• Aimee Sibilski
• Shawn Douglas Sieler, M.D.
• Ama Sika-Iddrisu
• Anju - Sikka, M.D.
• Bonnie Silverstein, O.D.

• Physical Therapist in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.