Shruti Nikam

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2305211857 Issued in VA

Practice address

4660 Kenmore Ave Ste 400
Alexandria, VA 22304-1306

Phone

(703) 751-1008

NPI assigned

May 15, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1679063606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 MILLWOOD LOOP",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014562",
            "telephone_number": "909-674-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 400",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-751-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKAM",
        "first_name": "SHRUTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305211857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Nieves-Figueroa, RESIDENT IN COUN
• Magdalena Nieves
• Vienna R Nightingale, PH.D.
• Michael Francis Nigro Jr., MD
• Nigussie G Mogus Dba Batmn
• Thessalia Marie Nikolaidis, MA, CCC-SLP
• Shafiqa Nikzad, NORTHERN VA
• Nile Healthcare
• Valentine Jean Toussaint Niles, CRNA
• Jacob A Ninan, M.D.

• Geriatric Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Geriatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.