Active NPI
Komal Radadia, BPT
- Physical Therapist
- Fremont, CA
National Provider Identifier
1568851731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41785
- Practice address
- 555 Mowry Ave
Suite E
Fremont, CA 94536-4110 - Phone
- (510) 745-7700
- Fax
- (510) 279-4300
- NPI assigned
- Jan 12, 2015
- 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 | 41785 | CA | Primary |
Addresses
Primary practice location
555 Mowry Ave
Suite E
Fremont, CA 94536-4110
Mailing address
555 Mowry Ave
Suite E
Fremont, CA 94536-4110
Phone (510) 745-7700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41785 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1568851731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 MOWRY AVE",
"address_2": "SUITE E",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364110",
"telephone_number": "510-745-7700",
"fax_number": "510-279-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MOWRY AVE",
"address_2": "SUITE E",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364110",
"telephone_number": "510-745-7700",
"fax_number": "510-279-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADADIA",
"first_name": "KOMAL",
"credential": "BPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41785",
"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 Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.