Individual provider Active NPI

Shikha Priya Ravikumar, PT, DPT, MS

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1598421802
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015691 Issued in GA
Practice address
11800 Amberpark Dr Ste 200
Alpharetta, GA 30009-2269
Phone
(404) 355-0743
NPI assigned
Nov 10, 2021
Last updated
Nov 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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 PT37559 FL
Physical Therapist 225100000X PT015691 GA Primary

Addresses

Primary practice location

11800 Amberpark Dr Ste 200
Alpharetta, GA 30009-2269

Mailing address

1787 Arash Cir
Port Orange, FL 32128-7292
Phone (386) 871-7654

Other practice location 1

1163 Johnson Ferry Rd Ste 200
Marietta, GA 30068-2764
Phone (404) 355-0743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220127000806 GA Practitioner - Physical Therapist in Private Practice 3577955475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Orthopaedic Clinic PAGroup PAC ID 4587552963, 138 clinicians

Practice addresses (Care Compare)

11800 Amberpark Dr
BLDG 1
Alpharetta, GA 30009-2274
Phone (404) 355-0743

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT37559FLMDPhysical Therapist
PT015691GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Orthopaedic Clinic CurrentSince Dec 6, 2021 Accepting new patients
Peachtree Orthopaedic Clinic PA Physical Therapist CurrentSince Dec 6, 2021 Accepting new patients
Peachtree Orthopaedic Clinic P.a. Physical Therapist Past Accepting new patients

Locations

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309

1163 Johnson Ferry Rd
Ste 200
Marietta, GA 30068
Phone (770) 977-7777

Interoperability endpoints

  • Direct secure messaging: shikha.ravikumar.2@8474.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1598421802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 ARASH CIR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287292",
            "telephone_number": "386-871-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 AMBERPARK DR STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092269",
            "telephone_number": "404-355-0743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 Johnson Ferry Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682764",
            "country_code": "US",
            "telephone_number": "404-355-0743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVIKUMAR",
        "first_name": "SHIKHA",
        "middle_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37559",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.