Individual provider Active NPI

Rupa Chakravarty, DPT, OCS

  • Physical Therapist
  • Sunnyvale, CA
National Provider Identifier
1629108790
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 29901 Issued in CA
Practice address
1618 Peacock Ave
Sunnyvale, CA 94087-4917
Phone
(408) 747-7494
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 29901 CA Primary
Orthopedic Physical Therapist 2251X0800X 29901 CA

Addresses

Primary practice location

1618 Peacock Ave
Sunnyvale, CA 94087-4917

Mailing address

1618 Peacock Ave
Sunnyvale, CA 94087-4917
Phone (408) 747-7494

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

LicenseStateTypeSpecialty
29901CAMDPharmacist
PT 29901CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rupa Benoy Chakravarty Orthopedic CurrentSince Nov 24, 2024 Accepting new patients
Physiofit Physical Therapy & Wellness, P.C. Physical Therapist CurrentSince Nov 29, 2017 Accepting new patients
Kimberly Gladfelter PastSince Jun 19, 2013 Accepting new patients

Locations

621 E Campbell Ave
Ste 10A
Campbell, CA 95008
Phone (408) 202-0941

1000 Fremont Ave
Ste 108
Los Altos, CA 94024
Phone (650) 947-8500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1629108790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 PEACOCK AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874917",
            "telephone_number": "408-747-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 PEACOCK AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874917",
            "telephone_number": "408-747-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRAVARTY",
        "first_name": "RUPA",
        "name_prefix": "Mrs.",
        "credential": "DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-03-05",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 29901",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "29901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.