Individual provider Active NPI

Tejaswi Khadka, TPT, DPT, NCS

  • Physical Therapist
  • Spicewood, TX
National Provider Identifier
1992385702
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1339535 Issued in TX
Practice address
20424 Haystack CV
Spicewood, TX 78669-6441
Phone
(512) 261-3584
Fax
(512) 524-3649
NPI assigned
Apr 14, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1339535 TX Primary

Addresses

Primary practice location

20424 Haystack CV
Spicewood, TX 78669-6441

Mailing address

20424 Haystack CV
Spicewood, TX 78669-6441
Phone (512) 261-3584

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1339535TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1992385702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20424 HAYSTACK CV",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696441",
            "telephone_number": "512-261-3584",
            "fax_number": "512-524-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20424 HAYSTACK CV",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696441",
            "telephone_number": "512-261-3584",
            "fax_number": "512-524-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADKA",
        "first_name": "TEJASWI",
        "name_prefix": "Dr.",
        "credential": "TPT, DPT, NCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1339535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spicewood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.