Individual provider Active NPI

Vaishali Desai, PT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1861934192
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010899 Issued in GA
Practice address
6105 Jefferson Square CT
Decatur, GA 30030-1785
Phone
(678) 575-3537
NPI assigned
Nov 17, 2016
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 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

Enrollment IDStateProvider typePAC IDDetails
I20170720000095 GA Practitioner - Physical Therapist in Private Practice 6103196456 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT010899GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Performance and Rehabilitation Centers, LLC Physical Therapist Current Accepting new patients
Human Performance and Rehabilitation Centers, LLC CurrentSince Aug 8, 2023 Accepting new patients
Human Performance and Rehabilitation Centers LLC CurrentSince Aug 8, 2023 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.

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.

Verify at the official NPI Registry.