Active NPI
Herat Vidyut Desai, PT
- Physical Therapist
- Clarksville, TN
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8412
- Practice address
- 211 Dunbarcave Road
Suite a
Clarksville, TN 37043-8848 - Phone
- (248) 259-5980
- Fax
- (931) 648-2225
- NPI assigned
- Dec 11, 2006
- Last updated
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8412 | TN | Primary |
Addresses
Primary practice location
211 Dunbarcave Road
Suite a
Clarksville, TN 37043-8848
Mailing address
211 Dunbarcave Road
Suite a
Clarksville, TN 37043-8848
Phone (248) 259-5980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3646052 | Other | PTAN |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11784 | NC | MD | Dentist |
| 8412 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Creek Medical Clinic, PA | Past | Accepting new patients | |
| Physical and Massage Therapy Associates LLC | Physical Therapist | Past | Accepting new patients |
| Western Tennessee Physical Therapy & Rehab | Physical Therapist | Past | Accepting new patients |
| Physical Medicine Associates, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Clarksville, TN
- NPI 1609007608
-
- Physical Therapist
- Fayetteville, NC
- NPI 1427291848
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1174575179
-
- Physical Therapy Clinic/Center
- Washington, DC
- NPI 1255489092
Physical Therapist
-
dba The Center for Integrative Body Therapies
- Chiropractor
- Washington, DC
- NPI 1982765228
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1801956511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 DUNBARCAVE ROAD",
"address_2": "SUITE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438848",
"telephone_number": "248-259-5980",
"fax_number": "931-648-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 DUNBARCAVE ROAD",
"address_2": "SUITE A",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438848",
"telephone_number": "248-259-5980",
"fax_number": "931-648-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "HERAT",
"middle_name": "VIDYUT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "3646052",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.