Active NPI
Charu Dave, R.P.T
- Physical Therapist
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7968
- Practice address
- 1895 Mowry Ave
Suite 118-a
Fremont, CA 94538-1737 - Phone
- (510) 790-0178
- Fax
- (510) 790-1197
- NPI assigned
- Nov 1, 2007
- Last updated
- Mar 8, 2010
- 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 | PT7968 | CA | Primary |
Addresses
Primary practice location
1895 Mowry Ave
Suite 118-a
Fremont, CA 94538-1737
Mailing address
1895 Mowry Ave
Suite 118-a
Fremont, CA 94538-1737
Phone (510) 790-0178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1895 Mowry Ave
Suite 118 a
Fremont, CA 94538-1736
Phone (510) 790-0383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7968 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Rehab Phy Ther Inc | Physical Therapist | Current | Accepting new patients |
| Wecare Rehab Services Inc | Physical Therapist | Current | Accepting new patients |
| Infocus Physical Therapy | Past | Accepting new patients |
Locations
1895 Mowry Ave
Ste 118
Fremont, CA 94538
1895 Mowry Ave
Ste 118A
Fremont, CA 94538
Phone (510) 760-0383
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1467631820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1895 MOWRY AVE",
"address_2": "SUITE 118-A",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381737",
"telephone_number": "510-790-0178",
"fax_number": "510-790-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 MOWRY AVE",
"address_2": "SUITE 118-A",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381737",
"telephone_number": "510-790-0178",
"fax_number": "510-790-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "CHARU",
"name_prefix": "Ms.",
"credential": "R.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT7968",
"primary": true
}
],
"identifiers": [],
"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 Mar 8, 2010; 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.