Individual provider Active NPI

Hetal Bhimjiani, DPT

  • Physical Therapist
  • Shrewsbury, MA
National Provider Identifier
1811311012
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21371 Issued in MA
Practice address
904C Boston Tpke
Shrewsbury, MA 01545-3303
Phone
(508) 845-3500
Fax
(508) 845-7772
NPI assigned
Feb 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011013A IN
Physical Therapist 225100000X 21371 MA Primary

Addresses

Primary practice location

904C Boston Tpke
Shrewsbury, MA 01545-3303

Mailing address

5 Sylvester Rd
Natick, MA 01760-4228
Phone (317) 627-9908

Other practice location 1

303 N Hurstbourne Pkwy
Suite 200
Louisville, KY 40222-5185
Phone (812) 527-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180115000316 MA Practitioner - Physical Therapist in Private Practice 5092074344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

904 C Boston Tpke
Shrewsbury, MA 01545-3303
Phone (508) 845-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21371MAMDProsthodontist
05011013AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Mar 22, 2021 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients

Locations

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

85 Franklin St
Boston, MA 02110
Phone (857) 284-4399

703 Granite St
Fl 3
Braintree, MA 02184

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

904C Boston Tpke
Shrewsbury, MA 01545
Phone (508) 845-3500

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

24 Lyman St
Ste 120
Westborough, MA 01581
Phone (508) 366-1433

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1811311012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SYLVESTER RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604228",
            "telephone_number": "317-627-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904C BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453303",
            "telephone_number": "508-845-3500",
            "fax_number": "508-845-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Hurstbourne Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225185",
            "country_code": "US",
            "telephone_number": "812-527-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHIMJIANI",
        "first_name": "HETAL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011013A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.