Individual provider Active NPI

Shivani Chauhan

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1548765605
Registry record updated May 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20847 Issued in NC
Practice address
19 Rambler LN
Durham, NC 27703-0728
Phone
(936) 900-3839
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018610 MI
Physical Therapist 225100000X P20847 NC Primary

Addresses

Primary practice location

19 Rambler LN
Durham, NC 27703-0728

Mailing address

19 Rambler LN
Durham, NC 27703-0728
Phone (936) 900-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503000351 NC Practitioner - Physical Therapist in Private Practice 3577950088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care First Physical Therapy and Rehab LLCGroup PAC ID 8022168434, 16 clinicians

Practice addresses (Care Compare)

100 Cornerstone Dr
Cary, NC 27519-8453
Phone (919) 460-1921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018610MIMDPhysical Therapist
P20847NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elderfit Physical Therapy and Consulting Inc. Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Reform Therapy Services LLC Physical Therapist CurrentSince May 28, 2023 Accepting new patients
Care First Physical Therapy & Rehab, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921

103 Meadowlands Dr
Hillsborough, NC 27278
Phone (919) 614-1923

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1548765605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RAMBLER LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030728",
            "telephone_number": "936-900-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RAMBLER LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030728",
            "telephone_number": "936-900-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "SHIVANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018610",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.