Active NPI
Amruta Arun Bhade, PTA
- Physical Therapist
- San Jose, CA
National Provider Identifier
1497468177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT305037
- Practice address
- 1887 Monterey Hwy Ste 200
San Jose, CA 95112-6192 - Phone
- (408) 288-3800
- NPI assigned
- Dec 28, 2022
- 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 | PT305037 | CA | Primary |
Addresses
Primary practice location
1887 Monterey Hwy Ste 200
San Jose, CA 95112-6192
Mailing address
2030 Beatrice CT Apt 6
San Jose, CA 95128-5005
Phone (408) 930-0536
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT305037 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1497468177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 BEATRICE CT APT 6",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951285005",
"telephone_number": "408-930-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1887 MONTEREY HWY STE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126192",
"telephone_number": "408-288-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHADE",
"first_name": "AMRUTA",
"middle_name": "ARUN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT305037",
"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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.