Sridevi Thambi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1282583 Issued in TX

Practice address

359 Village Commons Blvd
Georgetown, TX 78633-4448

Phone

(512) 277-6405

Fax

(512) 277-6406

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1629196266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 SPICEWOOD SPRINGS RD APT 620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594499",
            "telephone_number": "860-324-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 VILLAGE COMMONS BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334448",
            "telephone_number": "512-277-6405",
            "fax_number": "512-277-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMBI",
        "first_name": "SRIDEVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1282583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.