Active NPI
Shruti Chitale, PTA
- Physical Therapy Assistant
- Cupertino, CA
National Provider Identifier
1699283994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 49026
- Practice address
- 21020 Homestead Rd Ste 2
Cupertino, CA 95014-0240 - Phone
- (408) 530-0005
- NPI assigned
- Jan 21, 2018
- 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 Therapy Assistant | 225200000X | 49026 | CA | Primary |
Addresses
Primary practice location
21020 Homestead Rd Ste 2
Cupertino, CA 95014-0240
Mailing address
20 Descanso Dr Unit 1431
San Jose, CA 95134-1844
Phone (408) 832-2497
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49026 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petra Eggert | Past | Accepting new patients | |
| Intrahealth Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
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 Therapist
- Cupertino, CA
- NPI 1891739314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516492800000",
"number": "1699283994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 DESCANSO DR UNIT 1431",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341844",
"telephone_number": "408-832-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21020 HOMESTEAD RD STE 2",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140240",
"telephone_number": "408-530-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHITALE",
"first_name": "SHRUTI",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-21",
"last_updated": "2018-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "49026",
"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 Jan 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.