Individual provider Active NPI

Pareshbhai Shingala

  • Physical Therapist
  • Valrico, FL
National Provider Identifier
1598544496
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40768 Issued in FL
Practice address
1029 Emerald Hill Way
Valrico, FL 33594-5168
Phone
(813) 462-1055
NPI assigned
Sep 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40768 FL Primary

Addresses

Primary practice location

1029 Emerald Hill Way
Valrico, FL 33594-5168

Mailing address

1029 Emerald Hill Way
Valrico, FL 33594-5168
Phone (813) 462-1055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030003557 FL Practitioner - Physical Therapist in Private Practice 6608222443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40768FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Specialties, LLC Physical Therapist Current Accepting new patients

Locations

6702 W Linebaugh Ave
Tampa, FL 33625
Phone (813) 450-1792

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, 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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1598544496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 EMERALD HILL WAY",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945168",
            "telephone_number": "813-462-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 EMERALD HILL WAY",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945168",
            "telephone_number": "813-462-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINGALA",
        "first_name": "PARESHBHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.