Individual provider Active NPI

Bhupinder Singh, PT, PHD

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1770165433
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039393 Issued in NY
Practice address
10627 Diebold Rd
Fort Wayne, IN 46845-8606
Phone
(319) 331-3040
NPI assigned
Apr 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039393 NY Primary

Addresses

Primary practice location

10627 Diebold Rd
Fort Wayne, IN 46845-8606

Mailing address

10627 Diebold Rd
Fort Wayne, IN 46845-8606
Phone (319) 331-3040

Other practice location 1

1034 W Celeste Ave
Fresno, CA 93711-2415
Phone (319) 331-3040

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Fresno Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
039393NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1770165433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10627 DIEBOLD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458606",
            "telephone_number": "319-331-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10627 DIEBOLD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458606",
            "telephone_number": "319-331-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 W Celeste Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112415",
            "country_code": "US",
            "telephone_number": "319-331-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "BHUPINDER",
        "name_prefix": "Dr.",
        "credential": "PT, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fresno",
            "affiliation": "N",
            "endpointDescription": "Teaching",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "NA",
            "address_1": "1034 W Celeste Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937112415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.