Active NPI
Vaishali Desai, PT
- Physical Therapist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010899
- Practice address
- 6105 Jefferson Square CT
Decatur, GA 30030-1785 - Phone
- (678) 575-3537
- NPI assigned
- Nov 17, 2016
- Last updated
- Aug 1, 2023
- Sex
- Female
- 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 | PT010899 | GA | Primary |
Addresses
Primary practice location
6105 Jefferson Square CT
Decatur, GA 30030-1785
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (025) 377-8045
Other practice location 1
1833 McDonough Rd
Bldg 200 Ste C
Hampton, GA 30228-3517
Phone (770) 603-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
788 Prince Ave
Suite C
Athens, GA 30606-5912
Phone (706) 543-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010899 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance and Rehabilitation Centers, LLC | Physical Therapist | Current | Accepting new patients |
| Human Performance and Rehabilitation Centers, LLC | Current | Accepting new patients | |
| Human Performance and Rehabilitation Centers LLC | Current | Accepting new patients |
Locations
788 Prince Ave
Ste C
Athens, GA 30606
Phone (706) 453-2111
6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927
1157 West Ave SW
#B
Conyers, GA 30012
Phone (770) 922-2120
1883 McDonough Rd
Bldg 200
Lovejoy, GA 30228
909 Eagles Landing Pkwy
Ste 430
Stockbridge, GA 30281
Phone (770) 506-6993
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 3
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.
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- NPI 1891583654
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dba dba Medical and Health Resources
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1376135707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1861934192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "025-377-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6105 JEFFERSON SQUARE CT",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301785",
"telephone_number": "678-575-3537"
}
],
"practiceLocations": [
{
"address_1": "1833 McDonough Rd",
"address_2": "Bldg 200 Ste C",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "GA",
"postal_code": "302283517",
"country_code": "US",
"telephone_number": "770-603-7050",
"fax_number": "770-603-7049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESAI",
"first_name": "VAISHALI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2023-08-01",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.