Active NPI
Sharmi Mukherjee, M.P.T.
- Physical Therapist
- Fremont, CA
National Provider Identifier
1467509927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33280
- Practice address
- 39141 Civic Center Dr Ste 120
Fremont, CA 94538-5831 - Phone
- (510) 794-9672
- Fax
- (510) 792-8138
- NPI assigned
- Jan 5, 2007
- Last updated
- Nov 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 33280 | CA | Primary |
Addresses
Primary practice location
39141 Civic Center Dr Ste 120
Fremont, CA 94538-5831
Mailing address
3639 Haven Ave Unit A419
Menlo Park, CA 94025-1147
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT332800 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| PT0332800 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Hospital Development Corporation | Current | Accepting new patients |
Locations
39141 Civic Center Dr
Ste 120
Fremont, CA 94538
Phone (510) 794-9672
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Washington Outpatient Rehab Center
- Clinic/Center
- Fremont, CA
- NPI 1376797886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1467509927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3639 HAVEN AVE UNIT A419",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940251147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39141 CIVIC CENTER DR STE 120",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385831",
"telephone_number": "510-794-9672",
"fax_number": "510-792-8138"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKHERJEE",
"first_name": "SHARMI",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "0PT332800",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0332800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.