Individual provider Active NPI

Mahashini Naidoo, PT

  • Physical Therapist
  • Dyersburg, TN
National Provider Identifier
1609181775
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000005228 Issued in TN
Practice address
1445 Parr Ave
Dyersburg, TN 38024-3153
Phone
(731) 334-2919
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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 PT0000005228 TN Primary

Addresses

Primary practice location

1445 Parr Ave
Dyersburg, TN 38024-3153

Mailing address

710 US Hwy 51 Bypass N, PMB 574
Dyersburg, TN 38024-1950
Phone (731) 334-2919

Other practice location 1

2265 Parr Ave
Dyersburg, TN 38024-2078
Phone (731) 285-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150108000370 TN Practitioner - Physical Therapist in Private Practice 0446573976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1445 Parr Ave
Dyersburg, TN 38024-3153
Phone (731) 334-8567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000005228TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teletherapy Services, LLC Physical Therapist CurrentSince May 2, 2020 Accepting new patients

Locations

1445 Parr Ave
Dyersburg, TN 38024
Phone (731) 286-6156

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": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1609181775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 US HWY 51 BYPASS N, PMB 574",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241950",
            "telephone_number": "731-334-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PARR AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243153",
            "telephone_number": "731-334-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 Parr Ave",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242078",
            "country_code": "US",
            "telephone_number": "731-285-6600",
            "fax_number": "731-285-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIDOO",
        "first_name": "MAHASHINI",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000005228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.