Individual provider Active NPI

Priya Janak Thakkar

  • Orthopedic Physical Therapist
  • San Jose, CA
National Provider Identifier
1164090304
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
300270 Issued in CA
Practice address
1194 S de Anza Blvd
San Jose, CA 95129-3632
Phone
(408) 257-2225
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 300270 CA Primary

Addresses

Primary practice location

1194 S de Anza Blvd
San Jose, CA 95129-3632

Mailing address

6155 Almaden Expy Ste 150
San Jose, CA 95120-2781
Phone (408) 268-2225

Other practice location 1

6155 Almaden Expy Ste 150
San Jose, CA 95120-2781
Phone (408) 268-2225

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
300270CAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1164090304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 ALMADEN EXPY STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202781",
            "telephone_number": "408-268-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 S DE ANZA BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293632",
            "telephone_number": "408-257-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6155 Almaden Expy Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951202781",
            "country_code": "US",
            "telephone_number": "408-268-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "PRIYA JANAK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300270",
            "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 Jun 14, 2021; 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.