Individual provider Active NPI

Priya Ronak Chauhan, PT

  • Physical Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1104312677
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294975 Issued in CA
Practice address
10470 Foothill Blvd Ste 101
Rancho Cucamonga, CA 91730-3754
Phone
(909) 948-0411
Fax
(909) 890-4393
NPI assigned
Jul 7, 2018
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294975 CA Primary

Addresses

Primary practice location

10470 Foothill Blvd Ste 101
Rancho Cucamonga, CA 91730-3754

Mailing address

1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030

Other practice location 1

1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030

Other identifiers 1

IdentifierTypeStateIssuer
294975OtherCAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181112000515 CA Practitioner - Physical Therapist in Private Practice 4587918537 Reassigns benefits to 1 organization
I20240126000974 WA Practitioner - Physical Therapist in Private Practice 4587918537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9623 32ND St SE
Suite C101
Lake Stevens, WA 98258-5778
Phone (425) 458-7261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294975CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Icure Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
United Therapy Network Incorporated Physical Therapist CurrentSince Jun 28, 2018 Accepting new patients
United Therapy Network Incorporated Physical Therapist CurrentSince Jun 28, 2018 Accepting new patients
United Therapy Network Incorporated Physical Therapist Current Accepting new patients

Locations

802 Magnolia Ave
Ste 107
Corona, CA 92879
Phone (951) 340-0070

10470 Foothill Blvd
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 948-0411

8599 Haven Ave
Ste 207
Rch Cucamonga, CA 91730
Phone (909) 948-0411

1845 Business Center Dr
Ste 127
Sn Bernrdno, CA 92408
Phone (909) 890-9030

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

9623 32nd St SE
Ste C101
Lake Stevens, WA 98258
Phone (425) 458-7261

1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774

Organizations & group practices 6

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": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1104312677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083434",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD STE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303754",
            "telephone_number": "909-948-0411",
            "fax_number": "909-890-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 Business Center Dr Ste 127",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083434",
            "country_code": "US",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "PRIYA",
        "middle_name": "RONAK",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "294975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.