Individual provider Active NPI

Vallabha Sudhir Kshirsagar, PT OCS CHT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1568463271
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 4293 Issued in OH
Practice address
4440 Glen Este Withamsville Rd
Suite 1500
Cincinnati, OH 45245
Phone
(513) 753-2133
Fax
(513) 753-1804
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 4293 OH Primary
Hand Physical Therapist 2251H1200X 1041100163 OH
Orthopedic Physical Therapist 2251X0800X 8218 OH

Addresses

Primary practice location

4440 Glen Este Withamsville Rd
Suite 1500
Cincinnati, OH 45245

Mailing address

4440 Glen Este Withamsville Road
Suite 1500
Cincinnati, OH 45245
Phone (513) 753-2133

Other identifiers 1

IdentifierTypeStateIssuer
0815452MedicaidOH

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

LicenseStateTypeSpecialty
4293OHMDPsychologist
PT 4293OHMDPhysical Therapist
1041100163OHMDHand Physical Therapist
8218OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Physical Therapy Inc Physical Therapist PastSince Dec 1, 2006 Accepting new patients

Organizations & group practices 1

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1568463271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE ROAD",
            "address_2": "SUITE 1500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45245",
            "telephone_number": "513-753-2133",
            "fax_number": "513-753-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE RD",
            "address_2": "SUITE 1500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45245",
            "telephone_number": "513-753-2133",
            "fax_number": "513-753-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSHIRSAGAR",
        "first_name": "VALLABHA",
        "middle_name": "SUDHIR",
        "name_prefix": "Mrs.",
        "credential": "PT OCS CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 4293",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "OH",
            "license": "1041100163",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "8218",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0815452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.