Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shiva Gundavaram, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1992121883

Shiva Gundavaram, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Bridgeport, Connecticut. Qualified in 2006, 20 years ago. Practices with Core Physical Therapy and Sports Medicine PC, a 5-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
20
Licensed in
CT
In the registry since
2014
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Practice location Address checks out

3180 Main St Ste 303
Bridgeport, CT 06606-4237
Phone: (203) 373-1593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 007938 (CT)

Record details

NPI number1992121883
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedMarch 15, 2014
Last updated in NPPESMarch 15, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Core Physical Therapy And Sports Medicine Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bridgeport