Active NPI
Shivani Kiran Patel, DPT
- Physical Therapist
- Washington, DC
National Provider Identifier
1477322998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215954
- Practice address
- 1301 Pennsylvania Ave SE Ste 100
Washington, DC 20003-3027 - Phone
- (202) 455-8644
- NPI assigned
- Dec 26, 2023
- Last updated
- Dec 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29785 | MD | |
| Physical Therapist | 225100000X | 2305215954 | VA | Primary |
Addresses
Primary practice location
1301 Pennsylvania Ave SE Ste 100
Washington, DC 20003-3027
Mailing address
1320 4TH St NE Apt 304
Washington, DC 20002-7094
Phone (229) 200-9762
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29785 | MD | MD | Physical Therapist |
| 2305215954 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1477322998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 4TH ST NE APT 304",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027094",
"telephone_number": "229-200-9762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE SE STE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033027",
"telephone_number": "202-455-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHIVANI",
"middle_name": "KIRAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29785",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.