Individual provider Active NPI

Fulava Utkarsh Bhatt, PT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1396989406
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031229-1 Issued in NY
Practice address
218 Livingstone Falls Dr
Apartment Number 124
Charlotte, NC 28217-5250
Phone
(305) 632-8237
NPI assigned
Apr 21, 2009
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7642 SC
Physical Therapist 225100000X P15222 NC
Physical Therapist 225100000X 031229-1 NY Primary

Addresses

Primary practice location

218 Livingstone Falls Dr
Apartment Number 124
Charlotte, NC 28217-5250

Mailing address

218 Livingstone Falls Dr
Apartment Number 124
Charlotte, NC 28217-5250
Phone (305) 632-8237

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P15222NCMDPhysical Therapist
031229-1NYMDPhysical Therapist
7642SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1396989406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 LIVINGSTONE FALLS DR",
            "address_2": "APARTMENT NUMBER 124",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282175250",
            "telephone_number": "305-632-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 LIVINGSTONE FALLS DR",
            "address_2": "APARTMENT NUMBER 124",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282175250",
            "telephone_number": "305-632-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "FULAVA",
        "middle_name": "UTKARSH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7642",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15222",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.