Individual provider Active NPI

Khyati Tank

  • Physical Therapist
  • Milpitas, CA
National Provider Identifier
1285499962
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305666 Issued in CA
Practice address
500 E Calaveras Blvd Ste 112
Milpitas, CA 95035-7708
Phone
(408) 934-4700
Fax
(408) 934-4701
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 305666 CA Primary

Addresses

Primary practice location

500 E Calaveras Blvd Ste 112
Milpitas, CA 95035-7708

Mailing address

500 E Calaveras Blvd Ste 112
Milpitas, CA 95035-7708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409001538 CA Practitioner - Physical Therapist in Private Practice 0648618702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Sports Physical Therapy Centers IncGroup PAC ID 7618956889, 37 clinicians

Practice addresses (Care Compare)

2792 Naglee Rd
Tracy, CA 95304-7309
Phone (209) 433-6510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305666CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Mar 26, 2024 Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Mar 26, 2024 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist Current Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

500 E Calaveras Blvd
Ste 112
Milpitas, CA 95035
Phone (408) 733-3670

101 Wilson Rd
Ste C
Monterey, CA 93940
Phone (831) 375-1885

605 Tennant Ave
Ste F
Morgan Hill, CA 95037
Phone (408) 778-3434

350 Bollinger Canyon Ln
Ste A
San Ramon, CA 94582
Phone (925) 735-6414

5910 Pacific Ave
Stockton, CA 95207
Phone (209) 475-1000

5910 Pacific Ave
#I
Stockton, CA 95207
Phone (209) 475-1000

2792 Naglee Rd
Tracy, CA 95304
Phone (209) 433-6510

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1285499962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD STE 112",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD STE 112",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357708",
            "telephone_number": "408-934-4700",
            "fax_number": "408-934-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANK",
        "first_name": "KHYATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.