Individual provider Active NPI

Shivani Patel, PT

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1932519360
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41183 Issued in CA
Practice address
1002 Calloway Dr
Bakersfield, CA 93312-6337
Phone
(661) 588-4286
Fax
(661) 588-9986
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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 PT41183 CA Primary

Addresses

Primary practice location

1002 Calloway Dr
Bakersfield, CA 93312-6337

Mailing address

1002 Calloway Dr
Bakersfield, CA 93312-6337
Phone (661) 588-4286

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103001571 CA Practitioner - Physical Therapist in Private Practice 8022442458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GTMS Fitness CorporationGroup PAC ID 5395758239, 13 clinicians

Practice addresses (Care Compare)

39815 Alta Murrieta Dr
Suite C1
Murrieta, CA 92563-5405
Phone (951) 304-7673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41183CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
GTMS Fitness Corporation Physical Therapist CurrentSince Oct 8, 2020 Accepting new patients
Aum Physical Therapy & Yoga Center Inc Physical Therapist PastSince Jun 1, 2005 Accepting new patients

Locations

39815 Alta Murrieta Dr
Ste C1
Murrieta, CA 92563
Phone (951) 268-8865

Organizations & group practices 2

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1932519360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 CALLOWAY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126337",
            "telephone_number": "661-588-4286",
            "fax_number": "661-588-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 CALLOWAY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126337",
            "telephone_number": "661-588-4286",
            "fax_number": "661-588-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVANI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.