Active NPI
Shehla Nadeem, P.T.
- Physical Therapist
- San Jose, CA
National Provider Identifier
1508816737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 30367
- Practice address
- 2039 Forest Ave
#104
San Jose, CA 95128-4817 - Phone
- (408) 279-8501
- Fax
- (408) 279-8504
- NPI assigned
- May 10, 2006
- 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 | PT 30367 | CA | Primary |
Addresses
Primary practice location
2039 Forest Ave
#104
San Jose, CA 95128-4817
Mailing address
246 Sobrante Way
Sunnyvale, CA 94086-4807
Phone (408) 733-3670
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, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1716 Miramonte Ave
Mountain View, CA 94040-3763
Phone (650) 934-0455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30367 | CA | MD | General Practice Dentistry |
| PT 30367 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Rehabilitative Therapy Services | Physical Therapist | Current | Accepting new patients |
| Silicon Valley Hand Therapy | Physical Therapist | Current | Accepting new patients |
| Richard P. Carr Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
1716 Miramonte Ave
Mountain View, CA 94040
Phone (650) 934-0455
Organizations & group practices 3
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.
-
- Physical Therapist
- Mountain View, CA
- NPI 1275806713
-
- Rehabilitation Clinic/Center
- Mountain View, CA
- NPI 1437536448
Physical Therapist
-
- Physical Therapist
- Morgan Hill, CA
- NPI 1306829452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1508816737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 SOBRANTE WAY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940864807",
"telephone_number": "408-733-3670",
"fax_number": "408-245-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 FOREST AVE",
"address_2": "#104",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284817",
"telephone_number": "408-279-8501",
"fax_number": "408-279-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADEEM",
"first_name": "SHEHLA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 30367",
"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 Dec 2, 2008; 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.