Active NPI
Dhruti Jagdish Shah, R.P.T
- Physical Therapist
- Fremont, CA
National Provider Identifier
1740306455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28501
- Practice address
- 1895 Mowry Ave
Ste. 118-a
Fremont, CA 94538-1737 - Phone
- (510) 790-0383
- Fax
- (510) 790-1197
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PT28501 | CA | Primary |
Addresses
Primary practice location
1895 Mowry Ave
Ste. 118-a
Fremont, CA 94538-1737
Mailing address
3565 Sequoia CMN
Fremont, CA 94536-5782
Phone (510) 790-0383
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28501 | CA | MD | Clinical Psychologist |
| PT28501 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740306455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3565 SEQUOIA CMN",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365782",
"telephone_number": "510-790-0383",
"fax_number": "510-790-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 MOWRY AVE",
"address_2": "STE. 118-A",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381737",
"telephone_number": "510-790-0383",
"fax_number": "510-790-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DHRUTI",
"middle_name": "JAGDISH",
"name_prefix": "Ms.",
"credential": "R.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.