Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Shiva Gundavaram, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1992121883

Shiva Gundavaram, PHYSICALTHERAPIST is registered under 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 Not confirmed with CMS for 12 years — call before visiting
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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients28
Services billed 879 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Core Physical Therapy and Sports Medicine PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 5 clinicians in the practice; 3 are shown here.

Other providers in Bridgeport