Individual provider Active NPI

Vrushali Bharat Dawda

  • Physical Therapy Clinic/Center
  • San Jose, CA
National Provider Identifier
1093318628
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
12896 Issued in CT
Practice address
251 Brandon St Apt 242
San Jose, CA 95134-3651
Phone
(510) 766-9310
NPI assigned
Nov 17, 2020
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 12896 CT Primary

Addresses

Primary practice location

251 Brandon St Apt 242
San Jose, CA 95134-3651

Mailing address

251 Brandon St Apt 242
San Jose, CA 95134-3651
Phone (510) 766-9310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1093318628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 BRANDON ST APT 242",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951343651",
            "telephone_number": "510-766-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 BRANDON ST APT 242",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951343651",
            "telephone_number": "510-766-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWDA",
        "first_name": "VRUSHALI",
        "middle_name": "BHARAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "12896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.