Individual provider Active NPI

Srushti Shiroya

  • Physical Therapist
  • Duluth, GA
National Provider Identifier
1386462273
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017564 Issued in GA
Practice address
3680 Pleasant Hill Rd Ste 101
Duluth, GA 30096-3268
Phone
(770) 813-5575
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 PT017564 GA Primary

Addresses

Primary practice location

3680 Pleasant Hill Rd Ste 101
Duluth, GA 30096-3268

Mailing address

3680 Pleasant Hill Rd Ste 101
Duluth, GA 30096-3268
Phone (770) 813-5575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225000293 GA Practitioner - Physical Therapist in Private Practice 1456871276 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Feb 3, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Feb 3, 2025 Accepting new patients

Locations

3680 Pleasant Hill Rd
Ste 101
Duluth, GA 30096
Phone (770) 813-5575

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1386462273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 PLEASANT HILL RD STE 101",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963268",
            "telephone_number": "770-813-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 PLEASANT HILL RD STE 101",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963268",
            "telephone_number": "770-813-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIROYA",
        "first_name": "SRUSHTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.