Individual provider Active NPI

Aishani Sudesh Kini, PT, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1780267443
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4497 Issued in NV
Practice address
6930 S Cimarron Rd Ste 160
Las Vegas, NV 89113-2135
Phone
(702) 522-7756
Fax
(702) 685-7811
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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 4497 NV Primary

Addresses

Primary practice location

6930 S Cimarron Rd Ste 160
Las Vegas, NV 89113-2135

Mailing address

6930 S Cimarron Rd Ste 160
Las Vegas, NV 89113-2135
Phone (702) 522-7756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411000369 CA Practitioner - Physical Therapist in Private Practice 3678974946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Hills Orthopedic and Sports Physical Therapy IncGroup PAC ID 1052437209, 13 clinicians

Practice addresses (Care Compare)

2680 S White Rd
Suite 200
San Jose, CA 95148-2079
Phone (408) 274-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4497NVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Hills Orthopedic and Sports Physical Therapy Inc. Physical Therapist CurrentSince Feb 27, 2024 Accepting new patients
Golden Hills Orthopedic and Sports Physical Therapy Inc. Physical Therapist PastSince Feb 27, 2024 Accepting new patients

Locations

1436 California Cir
Milpitas, CA 95035
Phone (408) 274-0888

2680 S White Rd
Ste 200
San Jose, CA 95148
Phone (408) 274-0888

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.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1780267443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 S CIMARRON RD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135",
            "telephone_number": "702-522-7756",
            "fax_number": "702-685-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 S CIMARRON RD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135",
            "telephone_number": "702-522-7756",
            "fax_number": "702-685-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINI",
        "first_name": "AISHANI SUDESH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.