Active NPI
Nileshkumar Vallabhbhai Trada, P.T.
- Physical Therapist
- Concord, NC
National Provider Identifier
1790150365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P-16041
- Practice address
- 9539 Indian Beech Ave NW
Concord, NC 28027-3573 - Phone
- (989) 551-8804
- NPI assigned
- Dec 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017141 | MI | |
| Physical Therapist | 225100000X | P-16041 | NC | Primary |
Addresses
Primary practice location
9539 Indian Beech Ave NW
Concord, NC 28027-3573
Mailing address
9539 Indian Beech Ave NW
Concord, NC 28027-3573
Phone (989) 551-8804
Other practice location 1
507 N Port Crescent St
Bad Axe, MI 48413-1208
Phone (989) 551-8804
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501017141 | Other | MI | PHYSICAL THERAPIST LICENSE NUMBER |
| P-16041 | Other | NC | PHYSICAL THERAPIST LICENSE NUMBER |
Other names 1
- Nilesh Trada
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017141 | MI | MD | Physical Therapist |
| P-16041 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1790150365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9539 INDIAN BEECH AVE NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273573",
"telephone_number": "989-551-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9539 INDIAN BEECH AVE NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273573",
"telephone_number": "989-551-8804"
}
],
"practiceLocations": [
{
"address_1": "507 N Port Crescent St",
"address_purpose": "LOCATION",
"city": "Bad Axe",
"state": "MI",
"postal_code": "484131208",
"country_code": "US",
"telephone_number": "989-551-8804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRADA",
"first_name": "NILESHKUMAR",
"middle_name": "VALLABHBHAI",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-08",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017141",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P-16041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE NUMBER",
"identifier": "5501017141",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE NUMBER",
"identifier": "P-16041",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NILESH",
"last_name": "TRADA",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.