Individual provider Active NPI

Meghana Sukhtankar

  • Physical Therapist
  • Fremont, CA
National Provider Identifier
1336309814
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34593 Issued in CA
Practice address
2675 Stevenson Blvd
Fremont, CA 94538-2323
Phone
(510) 794-5800
Fax
(510) 790-1102
NPI assigned
Jun 10, 2008
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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 PT34593 CA Primary

Addresses

Primary practice location

2675 Stevenson Blvd
Fremont, CA 94538-2323

Mailing address

2675 Stevenson Blvd
Fremont, CA 94538-2323
Phone (510) 794-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000663 CA Practitioner - Physical Therapist in Private Practice 2062570450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imotion Physical Therapy, IncGroup PAC ID 2163585209, 22 clinicians

Practice addresses (Care Compare)

730 Empey Way
San Jose, CA 95128-4705
Phone (408) 275-1500

Merit-based Incentive Payment System (MIPS)

Final score
90.96 of 100Reported as group
Quality
85
Improvement activities
40
Cost
73.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34593CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Imotion Physical Therapy, Inc Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Omega Sports Rehabilitation, Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
B.E.S.T. Physical Therapy, a Prof Corp Physical Therapist CurrentSince May 25, 2021 Accepting new patients
Samasta Services Inc Physical Therapist PastSince Oct 1, 2014 Accepting new patients
Kokila Patel, Inc Physical Therapist PastSince Jun 7, 2014 Accepting new patients

Locations

39120 Argonaut Way
Fremont, CA 94538
Phone (510) 378-3036

39737 Paseo Padre Pkwy
Fremont, CA 94538
Phone (510) 745-7700

555 Mowry Ave
Ste E
Fremont, CA 94536
Phone (510) 745-7000

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

1194 S De Anza Blvd
San Jose, CA 95129
Phone (408) 257-2222

6155 Almaden Expy
Ste 150
San Jose, CA 95120
Phone (408) 268-2225

730 Empey Way
San Jose, CA 95128
Phone (408) 275-1500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1336309814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 STEVENSON BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382323",
            "telephone_number": "510-794-5800",
            "fax_number": "510-790-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 STEVENSON BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382323",
            "telephone_number": "510-794-5800",
            "fax_number": "510-790-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHTANKAR",
        "first_name": "MEGHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.