Individual provider Active NPI

Kirandeep Walia, PT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1457147407
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT307887 Issued in CA
Practice address
5434 Thornwood Dr
San Jose, CA 95123-1214
Phone
(408) 365-8396
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 PT307887 CA Primary

Addresses

Primary practice location

5434 Thornwood Dr
San Jose, CA 95123-1214

Mailing address

2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 248-6886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508001494 CA Practitioner - Physical Therapist in Private Practice 8729505177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
More Physical Therapy IncGroup PAC ID 5294783122, 51 clinicians

Practice addresses (Care Compare)

5434 Thornwood Dr
San Jose, CA 95123-1214
Phone (408) 365-8396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT307887CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
More Physical Therapy, Inc. Physical Therapist CurrentSince Apr 10, 2025 Accepting new patients

Locations

1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075

5434 Thornwood Dr
San Jose, CA 95123
Phone (408) 365-8396

2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886

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.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1457147407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261141",
            "telephone_number": "408-248-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5434 THORNWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231214",
            "telephone_number": "408-365-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIA",
        "first_name": "KIRANDEEP",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT307887",
            "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 Apr 16, 2025; 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.