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

Shivangi M Bavishi

Individual provider Physical Therapist · NPI 1790314011

Shivangi M Bavishi is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2017, 9 years ago. Practices with Brandon Jackson P T, a 9-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
9
Licensed in
NV
In the registry since
2020
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Practice location Address checks out

3620 E Sunset Rd Ste 100
Las Vegas, NV 89120-7217
Phone: (702) 368-6778
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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 4128 (NV)

Record details

NPI number1790314011
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESApril 7, 2020
Certification dateApril 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brandon Jackson P T — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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