Active NPI
Navdeep Atwal Thakkar
- Physical Therapist
- Modesto, CA
National Provider Identifier
1396212775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1441 Florida Ave
Modesto, CA 95350-4404 - Phone
- (209) 578-1211
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1441 Florida Ave
Modesto, CA 95350-4404
Mailing address
5312 Darpinian CT
Riverbank, CA 95367-9464
Phone (530) 788-3386
Other practice location 1
4660 Spyres Way
Modesto, CA 95356-9804
Phone (209) 578-3290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Physical, Occupational, Speech and Hand Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
dba California Rehabilittion
- Neurorehabilitation Occupational Therapist
- Modesto, CA
- NPI 1841357233
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1396212775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5312 DARPINIAN CT",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953679464",
"telephone_number": "530-788-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504404",
"telephone_number": "209-578-1211"
}
],
"practiceLocations": [
{
"address_1": "4660 Spyres Way",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953569804",
"country_code": "US",
"telephone_number": "209-578-3290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAKKAR",
"first_name": "NAVDEEP",
"middle_name": "ATWAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.