Anshumala M Shivakoty

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023512 Issued in PA

Practice address

4531 Stonebridge Dr
Macungie, PA 18062-8715

Phone

(225) 229-5145

NPI assigned

Feb 22, 2012

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1720351604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 STONEBRIDGE DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628715",
            "telephone_number": "225-229-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 STONEBRIDGE DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628715",
            "telephone_number": "225-229-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVAKOTY",
        "first_name": "ANSHUMALA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206211",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24749",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Schrift, M.D.
• Kelsey Leigh Schultz, MS
• Alexandra Marie Sciascia, NP
• Ruby Serraty
• Shepherd Hills Medical Staffing
• Daniel J Simpson, DO
• Sleep Plus
• Emilyann K Solt
• Danielle Squires, PT, DPT
• St. Luke's Hospital (St. Luke's Care Now - Macungie)

• Physical Therapist in Macungie, PA
• Providers in Macungie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.