Active NPI
Shamita Tejas Gupte
- Physical Therapist
- Minneapolis, MN
National Provider Identifier
1740702471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10624
- Practice address
- 1305 E 24TH St Ste 1
Minneapolis, MN 55404-3927 - Phone
- (612) 223-8879
- NPI assigned
- Jul 14, 2017
- 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 | 10624 | MN | Primary |
Addresses
Primary practice location
1305 E 24TH St Ste 1
Minneapolis, MN 55404-3927
Mailing address
1305 E 24TH St Ste 1
Minneapolis, MN 55404-3927
Phone (612) 223-8879
Other names 1
- Miss Shamita Shivraj Rane
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 |
|---|---|---|---|
| 10624 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1740702471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 E 24TH ST STE 1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043927",
"telephone_number": "612-223-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 E 24TH ST STE 1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043927",
"telephone_number": "612-223-8879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTE",
"first_name": "SHAMITA",
"middle_name": "TEJAS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAMITA",
"last_name": "RANE",
"middle_name": "SHIVRAJ",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.