Individual provider Active NPI

Mruga Dani

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1326422874
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43039 Issued in CA
Practice address
1590 Oakland Rd Ste B102
San Jose, CA 95131-2444
Phone
(315) 420-0523
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 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 43039 CA Primary

Addresses

Primary practice location

1590 Oakland Rd Ste B102
San Jose, CA 95131-2444

Mailing address

1590 Oakland Rd Ste B102
San Jose, CA 95131-2444
Phone (315) 420-0523

Other practice location 1

270 International Cir
Building 2 North, 1 st floor
San Jose, CA 95119-1130
Phone (408) 972-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811001609 CA Practitioner - Physical Therapist in Private Practice 7911278726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1590 Oakland Rd
Suite B102
San Jose, CA 95131-2444
Phone (408) 495-4149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43039CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imotion Physical Therapy, Inc Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Radiant Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jan 11, 2024 Accepting new patients

Locations

14901 National Ave
Ste 102
Los Gatos, CA 95032
Phone (408) 358-3631

1590 Oakland Rd
Ste B102
San Jose, CA 95131
Phone (408) 495-4149

Organizations & group practices 2

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1326422874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 OAKLAND RD STE B102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312444",
            "telephone_number": "315-420-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 OAKLAND RD STE B102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312444",
            "telephone_number": "315-420-0523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 International Cir",
            "address_2": "Building 2 North, 1 st floor",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191130",
            "country_code": "US",
            "telephone_number": "408-972-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANI",
        "first_name": "MRUGA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.