Active NPI
Shalmali Santosh Thosar, PT
- Physical Therapist
- San Bernardino, CA
National Provider Identifier
1770194680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 298653
- Practice address
- 1181 E Highland Ave Ste B
San Bernardino, CA 92404-4605 - Phone
- (909) 883-5069
- Fax
- (909) 883-5473
- NPI assigned
- Aug 13, 2020
- 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 | 298653 | CA | Primary |
Addresses
Primary practice location
1181 E Highland Ave Ste B
San Bernardino, CA 92404-4605
Mailing address
PO Box 10016
Redlands, CA 92375-3216
Phone (909) 883-5069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3283 Motor Ave
Los Angeles, CA 90034-3709
Phone (310) 845-9690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298653 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete P T Pool and Land Physical Therapy Inc | Current | Accepting new patients |
Locations
3283 Motor Ave
Los Angeles, CA 90034
Phone (310) 559-6900
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.
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1639331770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1770194680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10016",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923753216",
"telephone_number": "909-883-5069",
"fax_number": "909-883-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 E HIGHLAND AVE STE B",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044605",
"telephone_number": "909-883-5069",
"fax_number": "909-883-5473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOSAR",
"first_name": "SHALMALI",
"middle_name": "SANTOSH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "298653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.