Organization Active NPI

Core Craft Physical Therapy and Rehabilitation Professional Corp

  • Physical Therapist
  • Pleasanton, CA
National Provider Identifier
1790655280
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORE CRAFT PHYSICAL THERAPY AND REHABILITATION PROFESSIONAL CORP
Practice address
5820 Stoneridge Mall Rd Ste 101
Pleasanton, CA 94588-3275
Phone
(908) 821-5437
NPI assigned
Nov 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Mrs. Payal ShahNPI 1912145616
Title
Owner
Phone
(908) 821-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5820 Stoneridge Mall Rd Ste 101
Pleasanton, CA 94588-3275

Mailing address

5820 Stoneridge Mall Rd Ste 101
Pleasanton, CA 94588-3275
Phone (908) 821-5437

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260429002092 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577030337 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1790655280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 101",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883275",
            "telephone_number": "908-821-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 101",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883275",
            "telephone_number": "908-821-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CRAFT PHYSICAL THERAPY AND REHABILITATION PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-821-5437",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.