Individual provider Active NPI

Aashka Raval, P.T.

  • Physical Therapist
  • Kentfield, CA
National Provider Identifier
1780917351
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40102 Issued in CA
Practice address
801 College Ave
Kentfield, CA 94904-2562
Phone
(415) 258-9894
Fax
(415) 258-8105
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501014556 MI
Physical Therapist 225100000X 40102 CA Primary

Addresses

Primary practice location

801 College Ave
Kentfield, CA 94904-2562

Mailing address

801 College Ave
Kentfield, CA 94904-2562
Phone (415) 258-9894

Other practice location 1

601 E Main St
Hart, MI 49420-1144
Phone (231) 873-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307001121 CA Practitioner - Physical Therapist in Private Practice 8921134487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

1331 Medical Ctr Dr
Suite a
Rohnert Park, CA 94928-2900
Phone (707) 584-3433

1700 California St
Suite 530
San Francisco, CA 94109-4591
Phone (415) 921-1758

2420 Martin Rd
Suite 380
Fairfield, CA 94534-8610
Phone (707) 437-9001

3129 Vicente St
San Francisco, CA 94116-2740
Phone (415) 661-1057

3222 Geary Blvd
San Francisco, CA 94118-3319
Phone (415) 831-4658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40102CAMDPhysical Therapist
5501014556MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC CurrentSince Apr 1, 2022 Accepting new patients
Ivyrehab Michigan, LLC Physical Therapist PastSince Aug 18, 2025 Accepting new patients

Locations

200 Tamal Plz
Ste 120
Corte Madera, CA 94925
Phone (415) 461-8233

2420 Martin Rd
Ste 380
Fairfield, CA 94534
Phone (707) 437-9001

801 College Ave
Kentfield, CA 94904
Phone (415) 258-9894

1331 Medical Center Dr
Ste A
Rohnert Park, CA 94928
Phone (707) 584-3433

1700 California St
Ste 530
San Francisco, CA 94109
Phone (415) 921-1758

1099 D St
Ste 105
San Rafael, CA 94901
Phone (415) 302-0456

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1780917351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 COLLEGE AVE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042562",
            "telephone_number": "415-258-9894",
            "fax_number": "415-258-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COLLEGE AVE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042562",
            "telephone_number": "415-258-9894",
            "fax_number": "415-258-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hart",
            "state": "MI",
            "postal_code": "494201144",
            "country_code": "US",
            "telephone_number": "231-873-3577",
            "fax_number": "231-873-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "AASHKA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014556",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.