Individual provider Active NPI

Vidya Devarapalli, PT, DPT

  • Orthopedic Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1063930055
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
293043 Issued in CA
Practice address
14901 National Ave Ste 102
Los Gatos, CA 95032-2637
Phone
(408) 358-3631
NPI assigned
Aug 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 293043 CA Primary

Addresses

Primary practice location

14901 National Ave Ste 102
Los Gatos, CA 95032-2637

Mailing address

14901 National Ave Ste 102
Los Gatos, CA 95032-2637
Phone (408) 358-3631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002001976 CA Practitioner - Physical Therapist in Private Practice 4880969823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Physical TherapyGroup PAC ID 9335481712, 2 clinicians

Practice addresses (Care Compare)

3880 S Bascom Ave
San Jose, CA 95124-2600
Phone (408) 628-0447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293043CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Physical Therapy CurrentSince Mar 29, 2019 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jun 28, 2018 Accepting new patients
Imotion Physical Therapy, Inc Orthopedic CurrentSince Aug 6, 2017 Accepting new patients
Orthopaedic and Neurological Rehab Inc Orthopedic CurrentSince Jun 28, 2018 Accepting new patients

Locations

14901 National Ave
Ste 102
Los Gatos, CA 95032
Phone (408) 358-3631

730 Empey Way
San Jose, CA 95128
Phone (408) 275-1500

3880 S Bascom Ave
Ste 106
San Jose, CA 95124
Phone (408) 507-1428

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063930055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 NATIONAL AVE STE 102",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322637",
            "telephone_number": "408-358-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 NATIONAL AVE STE 102",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322637",
            "telephone_number": "408-358-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARAPALLI",
        "first_name": "VIDYA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.