Ketan Ganesh Tarvate

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35178 Issued in FL

Practice address

2160 Golden Gate Blvd W
Naples, FL 34120-1858

Phone

(409) 504-6664

NPI assigned

Sep 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1487324323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 GOLDEN GATE BLVD W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 GOLDEN GATE BLVD W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201858",
            "telephone_number": "409-504-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVATE",
        "first_name": "KETAN",
        "middle_name": "GANESH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Taranov, DDS
• Medney Tardy Jr., MD
• Matthew S. Targoff, D.O.
• Andry Tarifa Valdes Sr., RBT
• Jon Ryan Tarr, D.C.
• Hillary Tassin, M.D.
• Lindell Tatai, PHARM D
• Ashley Tate, DMD
• Sydney Tateo, ARNP
• Jared Taub, M.D.

• Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.