Individual provider Active NPI

Nidhi N Seth, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1689251647
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22122 Issued in NC
Practice address
9360 Falls of Neuse Rd Ste 105
Raleigh, NC 27615-2485
Phone
(919) 387-7409
Fax
(919) 307-3335
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 291320 CA
Physical Therapist 225100000X P22122 NC Primary

Addresses

Primary practice location

9360 Falls of Neuse Rd Ste 105
Raleigh, NC 27615-2485

Mailing address

9360 Falls of Neuse Rd Ste 105
Raleigh, NC 27615-2485
Phone (919) 387-7409

Other practice location 1

175 W Saint James St Unit 203
San Jose, CA 95110-2407
Phone (315) 447-4590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801002047 NC Practitioner - Physical Therapist in Private Practice 8820459365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9360 Falls of Neuse Rd
Suite 105
Raleigh, NC 27615-2485
Phone (919) 387-7409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
291320CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobloom Physical Therapy & Wellness LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

9360 Falls of Neuse Rd
Ste 105
Raleigh, NC 27615
Phone (919) 387-7409

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1689251647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 FALLS OF NEUSE RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152485",
            "telephone_number": "919-387-7409",
            "fax_number": "919-307-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 FALLS OF NEUSE RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152485",
            "telephone_number": "919-387-7409",
            "fax_number": "919-307-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 W Saint James St Unit 203",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951102407",
            "country_code": "US",
            "telephone_number": "315-447-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETH",
        "first_name": "NIDHI",
        "middle_name": "N",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291320",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.