Individual provider Active NPI

Vrunda Shah, PT

  • Physical Therapist
  • Placentia, CA
National Provider Identifier
1295426401
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
774 S Placentia Ave
Placentia, CA 92870-6826
Phone
(714) 646-8319
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 Primary

Addresses

Primary practice location

774 S Placentia Ave
Placentia, CA 92870-6826

Mailing address

740 S Placentia Ave
Placentia, CA 92870-6832
Phone (714) 646-8318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000479 CA Practitioner - Physical Therapist in Private Practice 6608230529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Rehab and AquaticsGroup PAC ID 2264561257, 5 clinicians
Hands on Rehab, Inc.Group PAC ID 1658334107, 5 clinicians

Practice addresses (Care Compare)

1601 Dove St
Suite 130
Newport Beach, CA 92660-1419
Phone (714) 847-8751

7921 Professional Cir
Huntington Beach, CA 92648-1901
Phone (714) 847-8751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maxum Physical Therapy Inc Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients

Locations

740 S Placentia Ave
Ste 100
Placentia, CA 92870
Phone (714) 646-8318

774 S Placentia Ave
Ste 100
Placentia, CA 92870
Phone (714) 646-8318

774 S Placentia Ave
Placentia, CA 92870
Phone (714) 646-8318

Organizations & group practices 3

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1295426401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706832",
            "telephone_number": "714-646-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 S PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706826",
            "telephone_number": "714-646-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VRUNDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.