Active NPI
Purnima Bathla
- Physical Therapist
- Elk Grove, CA
National Provider Identifier
1194360149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT295887
- Practice address
- 9515 Cote Dor Dr
Elk Grove, CA 95624-4645 - Phone
- (408) 507-1349
- NPI assigned
- Nov 14, 2019
- 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 | PT295887 | CA | Primary |
Addresses
Primary practice location
9515 Cote Dor Dr
Elk Grove, CA 95624-4645
Mailing address
9515 Cote Dor Dr
Elk Grove, CA 95624-4645
Phone (408) 507-1349
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT295887 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1194360149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9515 COTE DOR DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956244645",
"telephone_number": "408-507-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 COTE DOR DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956244645",
"telephone_number": "408-507-1349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATHLA",
"first_name": "PURNIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT295887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.