Individual provider Active NPI

Jaswinder Kaur Ahuja, PT, DPT

  • Physical Therapist
  • Arden, NC
National Provider Identifier
1669700563
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP004117T Issued in NC
Practice address
600 Julian LN Ste 660
Arden, NC 28704-7815
Phone
(828) 684-3611
Fax
(828) 684-3612
NPI assigned
Dec 3, 2009
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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 PT. 012694 OH
Physical Therapist 225100000X CP004117T NC Primary

Addresses

Primary practice location

600 Julian LN Ste 660
Arden, NC 28704-7815

Mailing address

600 Julian LN Ste 660
Arden, NC 28704-7815
Phone (828) 684-3611

Other practice location 1

12301 Snow Rd
Parma, OH 44130-1002
Phone (216) 362-2203

Other names 1

  • Jaswinder Kaur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210105000467 NC Practitioner - Physical Therapist in Private Practice 3779612254
I20210927000222 TN Practitioner - Physical Therapist in Private Practice 3779612254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

2844 Essary Dr
Knoxville, TN 37918-2401
Phone (865) 584-1031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT. 012694OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc CurrentSince Apr 22, 2023 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Apr 22, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

2844 Essary Dr
Knoxville, TN 37918
Phone (865) 584-1031

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

6681 Bristol Hwy
Ste 40
Piney Flats, TN 37686
Phone (423) 391-8067

Organizations & group practices 4

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1669700563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 660",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047815",
            "telephone_number": "828-684-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 660",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047815",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12301 Snow Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441301002",
            "country_code": "US",
            "telephone_number": "216-362-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "JASWINDER",
        "middle_name": "KAUR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT. 012694",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP004117T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASWINDER",
            "last_name": "KAUR",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.