Active NPI
Dipika Vaid
- Physical Therapist
- Sunnyvale, CA
National Provider Identifier
1063189777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT300175
- Practice address
- 1039 E El Camino Real
Sunnyvale, CA 94087-7719 - Phone
- (408) 785-6994
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT300175 | CA | Primary |
Addresses
Primary practice location
1039 E El Camino Real
Sunnyvale, CA 94087-7719
Mailing address
1640 Notre Dame Dr
Mountain View, CA 94040-3641
Phone (248) 346-8417
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.selectrehab.com | Select Rehabilitation Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240805000992 | CA | Practitioner - Physical Therapist in Private Practice | 1759828023 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT300175 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1063189777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 NOTRE DAME DR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940403641",
"telephone_number": "248-346-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 E EL CAMINO REAL",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940877719",
"telephone_number": "408-785-6994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAID",
"first_name": "DIPIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT300175",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.selectrehab.com",
"affiliation": "Y",
"affiliationName": "Select Rehabilitation Inc",
"address_1": "1039 E El Camino Real",
"city": "Sunnyvale",
"state": "CA",
"country_code": "US",
"postal_code": "940877719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.