Active NPI
Siddhi Shah, P.T.
- Physical Therapist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302001
- Practice address
- 6489 Camden Ave Ste 109
San Jose, CA 95120-2850 - Phone
- (408) 268-0600
- Fax
- (415) 570-2236
- NPI assigned
- Jul 8, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019131 | MI | |
| Physical Therapist | 225100000X | P20527 | NC | |
| Physical Therapist | 225100000X | 302001 | CA | Primary |
Addresses
Primary practice location
6489 Camden Ave Ste 109
San Jose, CA 95120-2850
Mailing address
6489 Camden Ave Ste 109
San Jose, CA 95120-2850
Phone (408) 268-0600
Other practice location 1
1317 N Brightleaf Blvd Ste A
Smithfield, NC 27577-7267
Phone (919) 300-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6489 Camden Ave
Suite 109
San Jose, CA 95120-2850
Phone (470) 779-5576
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302001 | CA | MD | Physical Therapist |
| 5501019131 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Almaden Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Ally Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Campbell'S Premier Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Almaden Physical Therapy | Past | Accepting new patients |
Locations
163 E Hamilton Ave
Campbell, CA 95008
Phone (408) 866-5567
6489 Camden Ave
Ste 109
San Jose, CA 95120
Phone (408) 268-0600
32858 5 Mile Rd
Livonia, MI 48154
Phone (734) 525-3000
Organizations & group practices 4
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 Therapy Clinic/Center
- San Jose, CA
- NPI 1023898731
Physical Therapist
-
- Physical Therapy Clinic/Center
- Campbell, CA
- NPI 1508520834
Physical Therapist
-
- Physical Therapist
- Livonia, MI
- NPI 1407146343
-
- Physical Therapy Clinic/Center
- San Jose, CA
- NPI 1861654790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1760044911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6489 CAMDEN AVE STE 109",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951202850",
"telephone_number": "408-268-0600",
"fax_number": "415-570-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6489 CAMDEN AVE STE 109",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951202850",
"telephone_number": "408-268-0600",
"fax_number": "415-570-2236"
}
],
"practiceLocations": [
{
"address_1": "1317 N Brightleaf Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "275777267",
"country_code": "US",
"telephone_number": "919-300-5040",
"fax_number": "919-438-0893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "SIDDHI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019131",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20527",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.