Individual provider Active NPI

Shweta Gore

  • Cardiopulmonary Physical Therapist
  • Caro, MI
National Provider Identifier
1972895852
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiopulmonary Physical TherapistTaxonomy code 2251C2600X
License
5501014718 Issued in MI
Practice address
1004 W Caro Rd
Caro, MI 48723-9221
Phone
(989) 672-8700
Fax
(989) 672-8700
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiopulmonary Physical Therapist 2251C2600X 5501014718 MI Primary

Addresses

Primary practice location

1004 W Caro Rd
Caro, MI 48723-9221

Mailing address

1004 W Caro Rd
Caro, MI 48723-9221
Phone (989) 672-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1972895852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239221",
            "telephone_number": "989-672-8700",
            "fax_number": "989-672-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239221",
            "telephone_number": "989-672-8700",
            "fax_number": "989-672-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "SHWETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "MI",
            "license": "5501014718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.