Individual provider Active NPI

Kritika Patwardhan

  • Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1457019960
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
14901 National Ave Ste 102
Los Gatos, CA 95032-2637
Phone
(408) 637-4777
Fax
(408) 413-1317
NPI assigned
Dec 1, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 NU Primary

Addresses

Primary practice location

14901 National Ave Ste 102
Los Gatos, CA 95032-2637

Mailing address

39120 Argonaut Way Ste 274
Fremont, CA 94538-1304
Phone (510) 745-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001386 CA Practitioner - Physical Therapist in Private Practice 4486046133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
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)

14901 National Ave
Suite 102
Los Gatos, CA 95032-2637
Phone (408) 358-3631

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imotion Physical Therapy, Inc Physical Therapist CurrentSince Dec 15, 2021 Accepting new patients
Omega Sports Rehabilitation, Inc. Physical Therapist CurrentSince Dec 1, 2014 Accepting new patients

Locations

39120 Argonaut Way
Fremont, CA 94538
Phone (510) 796-0770

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

14981 National Ave
Ste 102
Los Gatos, CA 95032

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

Organizations & group practices 2

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1457019960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39120 ARGONAUT WAY STE 274",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381304",
            "telephone_number": "510-745-7700",
            "fax_number": "510-279-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 NATIONAL AVE STE 102",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322637",
            "telephone_number": "408-637-4777",
            "fax_number": "408-413-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATWARDHAN",
        "first_name": "KRITIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.