Active NPI
Amutha Desilva, PT
- Specialist
- Cincinnati, OH
National Provider Identifier
1578837175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT013493
- Practice address
- 8000 Evergreen Ridge Dr
Cincinnati, OH 45215-5750 - Phone
- (513) 679-9523
- NPI assigned
- Feb 28, 2012
- Last updated
- Nov 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT013493 | OH | Primary |
Addresses
Primary practice location
8000 Evergreen Ridge Dr
Cincinnati, OH 45215-5750
Mailing address
12062 Kenn Rd
Cincinnati, OH 45240-1344
Phone (513) 461-9094
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 |
|---|---|---|---|
| PT013493 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1578837175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12062 KENN RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452401344",
"telephone_number": "513-461-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 EVERGREEN RIDGE DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452155750",
"telephone_number": "513-679-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESILVA",
"first_name": "AMUTHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "PT013493",
"primary": true
}
],
"identifiers": [],
"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 Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.