Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIVA GUNDAVARAM, PHYSICAL THERAPIST
Active Sole ProprietorSHIVA GUNDAVARAM, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in BRIDGEPORT, Connecticut. NPI 1992121883 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1992121883
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2014 (12.378835997844 yrs)
- Last Updated
- Mar 15, 2014
- License
-
007938 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3180 MAIN ST STE 303BRIDGEPORT, CT, 066064237Browse CT providers · Browse ZIP 06606
- Phone
- 2033731593
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| MR. JASON DESOMBRE | PT | 1457306383 |
| MRS. NANCY P. ENTWISTLE | PT | 1407801277 |
| ALAN P. TERRY | PT | 1720035165 |
| MR. GREIG J PICKING | PT | 1124067343 |
| BRIAN MARSH | P.T. | 1013935642 |
| SWETA MAKADIA | P.T. | 1780602466 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.