Active NPI
Reha C Shrikhande, PT
- Geriatric Physical Therapist
- Trabuco Cyn, CA
National Provider Identifier
1760650071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT29649
- Practice address
- 8 Yellowpine Lane
Trabuco Cyn, CA 92679 - Phone
- (949) 713-7939
- Fax
- (949) 713-7939
- NPI assigned
- Feb 20, 2008
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT29649 | CA | Primary |
Addresses
Primary practice location
8 Yellowpine Lane
Trabuco Cyn, CA 92679
Mailing address
8018 E Santa Ana Canyon Rd Ste 100-145
Anaheim, CA 92808-1102
Phone (714) 926-1913
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 |
|---|---|---|---|
| PT29649 | CA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesisca Physical Therapy Inc | Geriatrics | Past | Accepting new patients |
| JM Physical Therapy Inc | Geriatrics | Past | Accepting new patients |
| Carlson Physical Therapy, Inc | Geriatrics | Past | Accepting new patients |
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.
-
- Geriatric Physical Therapist
- Trabuco Canyon, CA
- NPI 1255446860
Geriatrics
-
- Geriatric Physical Therapist
- Laguna Niguel, CA
- NPI 1821104472
Geriatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1760650071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8018 E SANTA ANA CANYON RD STE 100-145",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081102",
"telephone_number": "714-926-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 YELLOWPINE LANE",
"city": "TRABUCO CYN",
"state": "CA",
"postal_code": "92679",
"telephone_number": "949-713-7939",
"fax_number": "949-713-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRIKHANDE",
"first_name": "REHA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "PT29649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trabuco Cyn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.