Ketaki Pramathesh Malshe

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

296052 Issued in CA

Practice address

301 Lennon LN Ste 202
Walnut Creek, CA 94598-2433

Phone

(925) 934-6373

Fax

(925) 934-3363

NPI assigned

Dec 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pleasanton Physical Therapy Services IncGroup PAC ID 4284690694, 22 clinicians

Practice addresses (Care Compare)

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.

• Pleasanton Physical Therapy Services, Inc.

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1336295138
  Medicare reassignment Care Compare group NPD
• Kokila Patel, Inc

  • Physical Therapist
  • Union City, CA
  • NPI 1669466272
  NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1578035747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LENNON LN STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982433",
            "telephone_number": "925-934-6373",
            "fax_number": "925-934-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LENNON LN STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982433",
            "telephone_number": "925-934-6373",
            "fax_number": "925-934-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSHE",
        "first_name": "KETAKI",
        "middle_name": "PRAMATHESH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296052",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Sowjanya Mallela, MD
• Brianna Mallon
• Kathleen Malone, M.A.
• Michael Adams Maloney
• Lucio Malpica
• Leizel Mendoza Mamaradlo Enerio, NP
• Georgine Manasan, B.S.
• Diya Manavalan, PHARMD
• Kelly Stapenhorst Mancia
• Janibel Melendez Mandap, PA-C

• Physical Therapist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.

Verify at the official NPI Registry.