Individual provider Active NPI

Herat Vidyut Desai, PT

  • Physical Therapist
  • Clarksville, TN
National Provider Identifier
1801956511
Registry record updated Sep 10, 2009
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8412 Issued in TN
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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 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

IdentifierTypeStateIssuer
3646052OtherPTAN

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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
11784NCMDDentist
8412TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Creek Medical Clinic, PA PastSince Jul 21, 1997 Accepting new patients
Physical and Massage Therapy Associates LLC Physical Therapist PastSince Sep 1, 2003 Accepting new patients
Western Tennessee Physical Therapy & Rehab Physical Therapist PastSince Aug 16, 2009 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.

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

Verify at the official NPI Registry.