Shiva Gundavaram, PHYSICAL THERAPIST
NPI 1992121883ActiveIndividual· Physical Therapist· Bridgeport, CT
Physical Therapist (PHYSICAL THERAPIST) with Core Physical Therapy and Sports Medicine PC, practicing in Bridgeport, Connecticut. Medicare paid $13,934 for services to 28 patients in 2024.
Overview
| NPI | 1992121883 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | Yes |
| NPI issued | Mar 15, 2014 |
| Last updated in NPPES | Mar 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 007938 | CT |
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 Practitioner - Physical Therapist in Private Practice (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 879 across 11 procedure codes |
| Paid by Medicare | $13,934 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Core Physical Therapy and Sports Medicine PCBridgeport, CT · 5 clinicians
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