Individual provider Active NPI

Rashmi Shampur, DPT

  • Physical Therapist
  • Redlands, CA
National Provider Identifier
1316559149
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299705 Issued in CA
Practice address
1455 Ford St Ste 104
Redlands, CA 92373-3904
Phone
(909) 255-0611
Fax
(909) 798-1317
NPI assigned
Aug 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 04445701 NY
Physical Therapist 225100000X 299705 CA Primary

Addresses

Primary practice location

1455 Ford St Ste 104
Redlands, CA 92373-3904

Mailing address

1401 Cambria CT
Redlands, CA 92374-2794
Phone (216) 262-4708

Other practice location 1

1401 Cambria Ct
Redlands, CA 92374-2794
Phone (216) 262-4708

Other names 1

  • Rashmi Bheemanna Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202001106 CA Practitioner - Physical Therapist in Private Practice 8022422146 Reassigns benefits to 1 organization

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
Orange Grove Physical Therapy IncGroup PAC ID 7113331232, 2 clinicians

Practice addresses (Care Compare)

415 E Palm Ave
Redlands, CA 92373-6135
Phone (909) 255-0611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04445701NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Grove Physical Therapy, Inc Physical Therapist CurrentSince Jan 18, 2021 Accepting new patients

Locations

1455 Ford St
Ste 104
Redlands, CA 92373
Phone (909) 255-0611

415 E Palm Ave
Redlands, CA 92373
Phone (909) 255-0611

10915 Magnolia Ave
Riverside, CA 92505
Phone (909) 255-0611

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1316559149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CAMBRIA CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742794",
            "telephone_number": "216-262-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 FORD ST STE 104",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733904",
            "telephone_number": "909-255-0611",
            "fax_number": "909-798-1317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Cambria Ct",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742794",
            "country_code": "US",
            "telephone_number": "216-262-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMPUR",
        "first_name": "RASHMI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04445701",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RASHMI",
            "last_name": "BHEEMANNA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.