GAURI SHIRISH KHANDEKAR (NPI# 1316984891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316984891 |
| Entity Type | Individual |
| Full Name | GAURI SHIRISH KHANDEKAR |
| Credential | MHS, MS, PT |
| Practice Address |
4122 Factoria Blvd Se Ste 401 Bellevue WA 98006-5259 |
| Practice Telephone | 4255621920 |
| Practice Fax Number | 4255620054 |
| Mailing Telephone | 4255621920 |
| Mailing Fax Number | 4255620054 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 5501012776 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070015621 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT60047288 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MI PROVIDER # | 650F410180 | 01 |
| MI | MEDICARE GROUP # | 0N72320 | 01 |
| MI | BLUE CARE NETWORK | 650F410180 | 01 |
| Street Address |
4122 FACTORIA BLVD SE STE 401 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-5259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699917393 | Michelle Davidson Thomas | Physical Therapist | 4122 Factoria Blvd Se Ste 401, Bellevue, WA 98006-5259 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851466411 | Ian Alan Johnsen | Physical Therapist | 2110 116th Ave Ne, Suite D, Bellevue, WA 98004 | 2006-11-21 |
| 1376643338 | Pamela Faye Schuerman | Physical Therapist | 14810 Se Lake Hills Blvd A2, Bellevue, WA 98007-5820 | 2006-09-22 |
| 1497234835 | Sheila Mehri Oberhardt | Physical Therapist | 1560 140th Ave Ne Ste 100, Bellevue, WA 98005-4571 | 2018-08-07 |
| 1083191506 | Robin Mcguire | Physical Therapist | 1560 140th Ave Ne Ste 100, Bellevue, WA 98005 | 2018-07-26 |
| 1700394442 | David Anthony Hernandez | Physical Therapist | 1560 140th Ave Ne Ste 100, Bellevue, WA 98005-4571 | 2018-01-16 |
| 1104345479 | John Bernhardt | Physical Therapist | 1560 140th Ave Ne Ste 100, Bellevue, WA 98005-4571 | 2017-09-18 |
| 1174067854 | Corbin Taylor Gavin | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2016-12-14 |
| 1013460856 | Samantha Van Gorder | Physical Therapist | 1560 140th Ave Ne, Suite 100, Bellevue, WA 98005-4571 | 2016-07-28 |
| 1306076385 | Physical Therapy Essentials | Physical Therapist | 1750 112th Ave Ne, D-154, Bellevue, WA 98004-3752 | 2009-07-23 |
| 1831384155 | Jolene Shannon O'neill | Physical Therapist | 1200 112th Ave Ne, Suite C260, Bellevue, WA 98004-3732 | 2007-09-10 |
| Find all providers in BELLEVUE | ||||
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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.