Active NPI
Jason Q Shauf
- Physical Therapist
- Milpitas, CA
National Provider Identifier
1760658082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16235
- Practice address
- 1420 Cuciz LN
Milpitas, CA 95035-8206 - Phone
- (408) 390-5065
- NPI assigned
- May 6, 2008
- Sex
- Male
- 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 Therapist | 225100000X | 16235 | CA | Primary |
Addresses
Primary practice location
1420 Cuciz LN
Milpitas, CA 95035-8206
Mailing address
147 Vista del Monte
Los Gatos, CA 95030-6335
Phone (408) 390-5065
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 |
|---|---|---|---|
| 16235 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy in Your Home - OT, PT, St | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Los Gatos, CA
- NPI 1558392423
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1760658082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 VISTA DEL MONTE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950306335",
"telephone_number": "408-390-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 CUCIZ LN",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950358206",
"telephone_number": "408-390-5065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUF",
"first_name": "JASON",
"middle_name": "Q",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "16235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.