SHIVA GUNDAVARAM (NPI# 1992121883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992121883 |
| Entity Type | Individual |
| Full Name | SHIVA GUNDAVARAM |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
3180 Main St Ste 303 Bridgeport CT 06606-4237 |
| Practice Telephone | 2033731593 |
| Mailing Telephone | 2033731593 |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2014-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 007938 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3180 MAIN ST STE 303 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174162606 | Christopher Ude | Physical Therapist | 1126 Worthington Dr, Bridgeport, WV 26330-1284 | 2020-01-01 |
| 1245754597 | Kiara Leigh Midkiff | Physical Therapist | 1053 Dekalb St Apt 2b, Bridgeport, PA 19405-1203 | 2017-07-28 |
| 1255763694 | Kaitlyn Brooke Stone | Physical Therapist | 387 Heliport Loop, Bridgeport, WV 26330-8604 | 2013-08-08 |
| 1801143789 | Michael J Goldsmith | Physical Therapist | 40 Lakeshore Ter, Bridgeport, CT 06606-2430 | 2012-08-09 |
| 1851683270 | Nicholas Evan Salis | Physical Therapist | 26 Wade Ter, Bridgeport, CT 06604-1806 | 2011-05-03 |
| 1699066654 | Amy N Manning | Physical Therapist | 109-b Doctor's Drive, Bridgeport, WV 26330-0000 | 2011-04-26 |
| 1073819264 | Chase N Hansen | Physical Therapist | 5460 W Rolling Hills Dr, Bridgeport, MI 48722-9668 | 2011-02-04 |
| 1760787360 | Melinda Eve Bierlein | Physical Therapist | 5460 W. Rolling Hills Drive, Bridgeport, MI 48722 | 2011-01-13 |
| 1841445582 | Clemens Physical Therapy Services Inc. | Physical Therapist | 302 West Main St., Bridgeport, WV 26330 | 2008-11-21 |
| 1154580983 | Kelli S. Smith | Physical Therapist | 1116 Halsell St, Bridgeport, TX 76426-3000 | 2008-06-06 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.