Active NPI
Nikita Srinivas, P.T.
- Physical Therapist
- Evansville, IN
National Provider Identifier
1730508359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05011293A
- Practice address
- 1236 Lincoln Ave
Evansville, IN 47714 - Phone
- (812) 422-8555
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011293A | IN | Primary |
Addresses
Primary practice location
1236 Lincoln Ave
Evansville, IN 47714
Mailing address
1840 National Ave Apt No 215
Indianapolis, IN 46227
Phone (317) 603-1495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4027 Olley LN
Fairfax, VA 22032-1323
Phone (703) 425-3535
8315 Turning Leaf LN
MC Lean, VA 22102-2615
Phone (571) 662-5825
9619 Burke Lake Rd
Burke, VA 22015-3004
Phone (703) 250-1637
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011293A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
Locations
10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617
Organizations & group practices 2
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.
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1730508359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 NATIONAL AVE APT NO 215",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46227",
"telephone_number": "317-603-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 LINCOLN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47714",
"telephone_number": "812-422-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRINIVAS",
"first_name": "NIKITA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011293A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.