Active NPI
Chhavi Goenka
- Physical Therapist
- Cupertino, CA
National Provider Identifier
1194233254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 22445 Cupertino Rd
Cupertino, CA 95014-1052 - Phone
- (805) 418-0592
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA | Primary |
Addresses
Primary practice location
22445 Cupertino Rd
Cupertino, CA 95014-1052
Mailing address
1709 De Marietta Ave Apt 4
San Jose, CA 95126-4407
Phone (805) 418-0592
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": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1194233254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 DE MARIETTA AVE APT 4",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951264407",
"telephone_number": "805-418-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22445 CUPERTINO RD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950141052",
"telephone_number": "805-418-0592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOENKA",
"first_name": "CHHAVI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.