Active NPI
Dhwani Shah
- Physical Therapist
- Oakland, CA
National Provider Identifier
1205326717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294759
- Practice address
- 6116 Medau PL
Oakland, CA 94611-2809 - Phone
- (510) 339-2116
- Fax
- (510) 339-0647
- NPI assigned
- May 10, 2018
- Last updated
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 294759 | CA | Primary |
Addresses
Primary practice location
6116 Medau PL
Oakland, CA 94611-2809
Mailing address
6116 Medau PL
Oakland, CA 94611-2809
Phone (510) 339-2116
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 |
|---|---|---|---|
| 294759 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simon Gibson | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1205326717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 MEDAU PL",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112809",
"telephone_number": "510-339-2116",
"fax_number": "510-339-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 MEDAU PL",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112809",
"telephone_number": "510-339-2116",
"fax_number": "510-339-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DHWANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.