Bhavikkumar Shukla

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05010237A Issued in IN

Practice address

275 W 12TH St
4 West
Peru, IN 46970-1638

Phone

(765) 475-2160

NPI assigned

May 29, 2014

Last updated

May 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457
  Medicare reassignment NPD
• Five Star Rehabilitation and Wellness Services, LLC

  dba Ageility Physical Therapy Solutions at Northwoods

  • Physical Therapy Clinic/Center
  • Kokomo, IN
  • NPI 1124773338

  Physical Therapist

  Medicare reassignment NPD
• Vital Therapy

  • Physical Therapist
  • Kokomo, IN
  • NPI 1518691153
  Medicare reassignment NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975
  NPD
• Five Star Rehabilitation and Wellness Services, LLC

  dba Ageility Physical Therapy Solutions at Lexington Manor

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1417602640

  Physical Therapist

  NPD

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1811309537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 ACORN DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027522",
            "telephone_number": "404-932-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 12TH ST",
            "address_2": "4 WEST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701638",
            "telephone_number": "765-475-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "BHAVIKKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010237A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Saylor
• Michele Annette Schaeffer, RN, PMHNP
• Molly Schultz
• Lisa Kay Sheridan, MSW
• Nathan Shrock, PHARMD.
• Kadence Sible
• Lauren Siblisk
• Ellie Simms
• Dennis Scott Sipe, LMHC
• Darl D Skillen, RPH

• Physical Therapist in Peru, IN
• Providers in Peru, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.