Shailja Twinkle Srivastava, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000008464 Issued in TN

Practice address

973 Handforth CV
Collierville, TN 38017-8677

Phone

(901) 850-5574

NPI assigned

Nov 8, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLC 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Germantown, TN
  • NPI 1174308647
  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1043966864
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1083227169
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Mansfield, OH
  • NPI 1093389751
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Lisle, IL
  • NPI 1275259798
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Murray, UT
  • NPI 1275304495
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Suwanee, GA
  • NPI 1295412773
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Onalaska, WI
  • NPI 1306336565
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1346949443
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1417340126
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Green Valley, AZ
  • NPI 1417666884
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1427774959
  Care Compare group

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1770128142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 HANDFORTH CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178677",
            "telephone_number": "901-850-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 HANDFORTH CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178677",
            "telephone_number": "901-850-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SHAILJA",
        "middle_name": "TWINKLE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000008464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Collierville, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.