Divya Raghavan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40962 Issued in CA

Practice address

505 W Olive Ave Ste 468
Sunnyvale, CA 94086-7625

Phone

(669) 241-1062

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Sportho Physical and Aquatic Therapy, LLC

  • Orthopedic Physical Therapist
  • Chicago, IL
  • NPI 1437131497
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1467706598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W OLIVE AVE STE 468",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867625",
            "telephone_number": "669-241-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W OLIVE AVE STE 468",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867625",
            "telephone_number": "669-241-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 S Clark St",
            "address_2": "1100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606031802",
            "country_code": "US",
            "telephone_number": "312-368-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "94025",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGHAVAN",
        "first_name": "DIVYA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017535",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034160",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bashir Z Raboye
• Radiant Chiropractic and Acupuncture
• Radiant Chiropractic and Acupuncture
• Yahya Radwan, DDS
• Mehrbod Rafia, DC
• Nazanin Rahimi
• Erin Rahter, DPT
• Shruti Rai
• Sabiya Banu Raja, MD, MPH
• Shibani Rajadhyksha, DDS

• Physical Therapist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.