Bounce Back Rehabilitation Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BOUNCE BACK REHABILITATION SERVICES

Practice address

41544 Erma Ave
Fremont, CA 94539-4541

Phone

(248) 990-4034

NPI assigned

Apr 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tulsi ShahNPI 1578016622

Title

Physical Therapist

Phone

(248) 990-4034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tulsi Shah

  • Physical Therapist
  • Freeport, IL
  • NPI 1578016622

  CA

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1063216307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41544 ERMA AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945394541",
            "telephone_number": "248-990-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41544 ERMA AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945394541",
            "telephone_number": "248-990-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE BACK REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TULSI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-990-4034"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Borsa, R.N.
• Amber C. Botello
• Caitlyn Bothwell
• Raphael Boumaila, MASSAGE THERAPIST
• Silva Boumjahed, RD
• James Bounds, RADT
• Kathy Bourque, RD
• Latonya Bowens, FNP-C
• Marvin W Bowerman, M.F.T.
• Myles Bowie

• Physical Therapist in Fremont, CA
• Providers in Fremont, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.

Verify at the official NPI Registry.