Provider Demographics
NPI:1922326537
Name:JIWANI, NIHA (PT)
Entity type:Individual
Prefix:
First Name:NIHA
Middle Name:
Last Name:JIWANI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 DORIS MAY DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5661
Mailing Address - Country:US
Mailing Address - Phone:386-679-8101
Mailing Address - Fax:
Practice Address - Street 1:2144 N LAKE FOREST DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:972-782-2353
Practice Address - Fax:972-782-2417
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032187225100000X
TX1356389225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400030675Medicare PIN
NYA400069692Medicare PIN
NYA400030579Medicare PIN
NYA400030315Medicare PIN
NYG400021955Medicare PIN
NYA400030206Medicare PIN
NYA400030246Medicare PIN