Individual provider Active NPI

Sheeba Sunitha Jakkula

  • Physical Therapist
  • Cupertino, CA
National Provider Identifier
1679010805
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT292475 Issued in CA
Practice address
20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112
Phone
(408) 252-6076
Fax
(408) 252-1159
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT292475 CA Primary

Addresses

Primary practice location

20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112

Mailing address

3147 Humberside CT
San Jose, CA 95148-3677
Phone (408) 603-0696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110001315 CA Practitioner - Physical Therapist in Private Practice 8426314204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quinn Orthopedic Physical TherapyGroup PAC ID 0244335180, 14 clinicians

Practice addresses (Care Compare)

20823 Stevens Creek Blvd
Suite 200
Cupertino, CA 95014-2112
Phone (408) 252-6076

Merit-based Incentive Payment System (MIPS)

Final score
91.28 of 100Reported as group
Quality
93.6
Improvement activities
40
Cost
79.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292475CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Physical Therapy, Inc. Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Quinn Orthopedic Physical Therapy Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients
Golden Hills Orthopedic and Sports Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

20823 Stevens Creek Blvd
Ste 200
Cupertino, CA 95014
Phone (408) 252-6076

841 Blossom Hill Rd
Ste 103
San Jose, CA 95123
Phone (408) 365-8400

1590 The Alameda
Ste 110
San Jose, CA 95126
Phone (408) 947-8466

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.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1679010805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 HUMBERSIDE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483677",
            "telephone_number": "408-603-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20823 STEVENS CREEK BLVD STE 200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142112",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKKULA",
        "first_name": "SHEEBA",
        "middle_name": "SUNITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.