Nova Prime Physical Therapy PLLC
NPI 1073226825ActiveOrganization· Physical Therapist· Chantilly, VA
Physical Therapist in Chantilly, Virginia, registered in NPPES in December 2022. The authorized official on file is Shital Kanaiyalal Gandhi, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073226825 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2022 |
| Last updated in NPPES | Jun 1, 2023 |
| Certified by provider | Jun 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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