Active NPI
Shivani Ajay Suklikar, PT, DPT
- Physical Therapist
- Westlake Village, CA
National Provider Identifier
1578155289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT299865
- Practice address
- 30870 Russell Ranch Rd Ste 330
Westlake Village, CA 91362-7372 - Phone
- (805) 497-7015
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PT299865 | CA | Primary |
Addresses
Primary practice location
30870 Russell Ranch Rd Ste 330
Westlake Village, CA 91362-7372
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
6325 Topanga Canyon Blvd Ste 100
Woodland Hills, CA 91367-2005
Phone (818) 340-8858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.42 of 100
- Quality
- 68.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT299865 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gillette & Assocaites Physical Therapy a Professional Corporation | Physical Therapist | Current | Accepting new patients |
Locations
6325 Topanga Canyon Blvd
Ste 100
Woodland Hls, CA 91367
Phone (818) 340-8858
Organizations & group practices 1
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 Therapy Clinic/Center
- Woodland Hills, CA
- NPI 1619142536
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1578155289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30870 RUSSELL RANCH RD STE 330",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913627372",
"telephone_number": "805-497-7015"
}
],
"practiceLocations": [
{
"address_1": "6325 Topanga Canyon Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913672005",
"country_code": "US",
"telephone_number": "818-340-8858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUKLIKAR",
"first_name": "SHIVANI",
"middle_name": "AJAY",
"name_prefix": "Miss",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT299865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.