Deesha M Marvania, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030301 Issued in NY

Practice address

125 Strawberry Hill Ave Ste 102
Stamford, CT 06902

Phone

(203) 548-0475

Fax

(203) 614-8746

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Deesha J Gondalia Former name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• M10 Consulting Solutions Inc

  • Physical Therapist
  • Stamford, CT
  • NPI 1033658018
  Medicare reassignment NPD Authorized official
• Shoreline Medical, LLP

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Stamford, CT
  • NPI 1326254681
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1982843272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 STRAWBERRY HILL AVE STE 102",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022536",
            "telephone_number": "203-548-0475",
            "fax_number": "203-614-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 STRAWBERRY HILL AVE STE 102",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-548-0475",
            "fax_number": "203-614-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Maltbie Ave",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069021110",
            "country_code": "US",
            "telephone_number": "732-690-0879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARVANIA",
        "first_name": "DEESHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "10471",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEESHA",
            "last_name": "GONDALIA",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sinead Martin
• Catalina Martinez
• Darren Keith Martinez, D.D.S.
• Sofia Martirosov, DDS
• Rebecca S Martorella, MA, LMFT
• Mary Arden-Cordone, M.D., LLC
• Katarzyna Maryniak, MD
• Christopher Nicholas Mascio, PA-C
• Laura Mase
• Frank Anthony Masino, M.D.

• Physical Therapist in Stamford, CT
• Providers in Stamford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.