Niki Govindbhai Dudhatra

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61413232 Issued in WA

Practice address

2431 Broadway
Everett, WA 98201-3018

Phone

(253) 765-9366

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Cascade Rehabilitation Associates PLLCGroup PAC ID 2567375728, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cascade Rehabilitation Associates, PLLC

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Summit Rehabilitation PLLC

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cascade Rehabilitation Associates, PLLC

  • Physical Therapist
  • Mukilteo, WA
  • NPI 1770359010
  NPD
• Summit Rehabilitation PLLC

  • Physical Therapist
  • Everett, WA
  • NPI 1760374771
  NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1629761655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013018",
            "telephone_number": "253-765-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013018",
            "telephone_number": "253-765-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDHATRA",
        "first_name": "NIKI",
        "middle_name": "GOVINDBHAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61413232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drue Delainy Duarte
• Martin Dubek, MD
• Terrie Dubois-Douglas
• Catherine Dubois
• Eva Marie Ducham, M.S.W.
• Jeanine M Duell, CM60421760
• Kay M Duff
• Kurt R. Duffens, M.D.
• Wendy Nadia Duffy, RPH
• Lisa Ann Duggan, MD

• Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.