Individual provider Active NPI

Jignesh Chabhadiya

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1790176550
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011662A Issued in IN
Practice address
12837 Bay Tree Way
Louisville, KY 40245-6536
Phone
(248) 979-0161
NPI assigned
Feb 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1214149 TX
Physical Therapist 225100000X 5501014880 MI
Physical Therapist 225100000X 05011662A IN Primary
Physical Therapist 225100000X 005966 KY

Addresses

Primary practice location

12837 Bay Tree Way
Louisville, KY 40245-6536

Mailing address

12837 Bay Tree Way
Louisville, KY 40245-6536
Phone (248) 979-0161

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

State licenses

LicenseStateTypeSpecialty
05011662AINMDPhysical Therapist
005966KYMDPhysical Therapist
5501014880MIMDPhysical Therapist
1214149TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1790176550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12837 BAY TREE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456536",
            "telephone_number": "248-979-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12837 BAY TREE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456536",
            "telephone_number": "248-979-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABHADIYA",
        "first_name": "JIGNESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1214149",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014880",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011662A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.