Individual provider Active NPI

Cherisha Hemant Koradia, DPT, PT,MS,GCS

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1417187832
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 39330 Issued in CA
Practice address
2191 Blossom Valley Dr
San Jose, CA 95124-6053
Phone
(323) 512-1060
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 PT 39330 CA Primary

Addresses

Primary practice location

2191 Blossom Valley Dr
San Jose, CA 95124-6053

Mailing address

2191 Blossom Valley Dr
San Jose, CA 95124-6053
Phone (323) 512-1060

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT 39330CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Right Physical Therapy Inc. Physical Therapist CurrentSince Oct 22, 2022 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist Past Accepting new patients
Richard P. Carr Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1417187832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 BLOSSOM VALLEY DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246053",
            "telephone_number": "323-512-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 BLOSSOM VALLEY DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246053",
            "telephone_number": "323-512-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORADIA",
        "first_name": "CHERISHA",
        "middle_name": "HEMANT",
        "name_prefix": "Dr.",
        "credential": "DPT, PT,MS,GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 39330",
            "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 Sep 13, 2022; 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.