Dhawal Bhanushali, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2000 W Kettleman LN Ste 106
Lodi, CA 95242-4334

Phone

(209) 207-0849

Fax

(209) 207-0852

NPI assigned

Aug 6, 2018

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Rehab Physical Therapy IncGroup PAC ID 4688992381, 2 clinicians

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 and National Provider Directory roles.

• Excel Rehab Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Lodi, CA
  • NPI 1437553583
  Medicare reassignment Care Compare group NPD
• Sutter Valley Hospitals

  • Health Maintenance Organization
  • Sacramento, CA
  • NPI 1053654434
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1952889461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W KETTLEMAN LN STE 106",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424334",
            "telephone_number": "209-207-0849",
            "fax_number": "209-207-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W KETTLEMAN LN STE 106",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424334",
            "telephone_number": "209-207-0849",
            "fax_number": "209-207-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANUSHALI",
        "first_name": "DHAWAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Emily Bennett, NP
• Malcolm Andrew Berean, LMFT
• Franklin Otto Bernhoft, PH.D.
• Michelle Ellen Besse, LMFT
• Beyond Barriers, Inc.
• Shivani Bhatt
• Harpreet Bhupal
• Tattiana Rae Blackwell
• Raylene Blandino, P.A.
• BLC Chancellor-Lodi LH, LLC

• Physical Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Physical Therapist in California

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