Poorva Kulkarni, PT DPT MHS

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

42221 Issued in CA

Practice address

15585 Monterey Rd Ste D
Morgan Hill, CA 95037-5460

Phone

(669) 377-1133

NPI assigned

Jul 1, 2020

Last updated

Jul 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wayne Broberg, PT

  • Physical Therapist
  • San Jose, CA
  • NPI 1982793477
  Medicare reassignment
• Broberg Physical Therapy

  • Physical Therapist
  • San Jose, CA
  • NPI 1528170669
  NPD (past)

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1326665886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 MAGNETIC LOOP",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191757",
            "telephone_number": "317-829-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15585 MONTEREY RD STE D",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375460",
            "telephone_number": "669-377-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "POORVA",
        "credential": "PT DPT MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "42221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Walters Koszewnik, DPM
• Zepure Kouyoumdjian, D.O.
• Roberta Garcia Kracht, LCSW
• Sonja Lehua Kramer, OTR
• Naomi Monique Kubogamell
• Devika Kumar, ASW & PPSC
• Jasmine Jay-Ming Kuo
• Bruce Kuwano, DDS
• Jeremy Wing Kwong
• Lacerda Chiropractic, Inc.

• Physical Medicine & Rehabilitation Physician in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.