Active NPI
Ravindra Sardesai
- Occupational Therapist
- Fort Worth, TX
National Provider Identifier
1437434065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112795
- Practice address
- 4453 Corner Brook LN
Fort Worth, TX 76123-2733 - Phone
- (817) 896-4007
- NPI assigned
- Oct 14, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 112795 | TX | Primary |
Addresses
Primary practice location
4453 Corner Brook LN
Fort Worth, TX 76123-2733
Mailing address
4453 Corner Brook LN
Fort Worth, TX 76123-2733
Phone (817) 896-4007
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112795 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1437434065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4453 CORNER BROOK LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761232733",
"telephone_number": "817-896-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4453 CORNER BROOK LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761232733",
"telephone_number": "817-896-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDESAI",
"first_name": "RAVINDRA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.