Sayali Prafulla Khedekar, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63974 Issued in OR

Practice address

685 36TH Ave NE
Salem, OR 97301-4741

Phone

(503) 371-8860

Fax

(503) 371-8772

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1407499684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014741",
            "telephone_number": "503-371-8860",
            "fax_number": "503-371-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014741",
            "telephone_number": "503-371-8860",
            "fax_number": "503-371-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 Park Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202562",
            "country_code": "US",
            "telephone_number": "732-494-0895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHEDEKAR",
        "first_name": "SAYALI",
        "middle_name": "PRAFULLA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01855100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalsa Chiropractic Clinic, PC
• Guruka K Khalsa, DC
• Amber Khan, MS SLP
• Omer Hayat Khan, M.D
• Yama Kharoti
• Erin N Khoury, PA
• Thong Lac Khuu, D.O.
• Kidability, Inc.
• Kidcare
• Kidney Care Physicians LLC

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.