Ruchita Shah Shukla, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49324 Issued in CA

Practice address

6065 Meridian Ave Ste 70
San Jose, CA 95120-2772

Phone

(408) 927-0871

Fax

(408) 927-0891

NPI assigned

May 11, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1346730652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 MERIDIAN AVE STE 70",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202772",
            "telephone_number": "408-927-0871",
            "fax_number": "408-927-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 MERIDIAN AVE STE 70",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202772",
            "telephone_number": "408-927-0871",
            "fax_number": "408-927-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "RUCHITA",
        "middle_name": "SHAH",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Shtrom, DDS
• Chen-Tsen Shu, M.D.
• Mary Ann Chen Shui, OD
• Philip Shui, DDS
• Poonam Minnie Shukla, LMFT
• Yogini Deepesh Shukla, M.D.
• Tara Christine Shull
• Carrie Joanne Shulman, LMFT
• James Leo Shurter
• Joanne Lynn Shurter, MFT

• Physical Therapy Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.