Individual provider Active NPI

Priscilla CHI, PTA

  • Physical Therapy Assistant
  • Milpitas, CA
National Provider Identifier
1801475017
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
500 E Calaveras Blvd Ste 112
Milpitas, CA 95035-7708
Phone
(408) 934-4700
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

500 E Calaveras Blvd Ste 112
Milpitas, CA 95035-7708

Mailing address

2680 Fayette Dr Apt 312
Mountain View, CA 94040-1135
Phone (626) 321-2877

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pacificrehabcenters.com/

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1801475017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 FAYETTE DR APT 312",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401135",
            "telephone_number": "626-321-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD STE 112",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357708",
            "telephone_number": "408-934-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "PRISCILLA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pacificrehabcenters.com/",
            "affiliation": "N",
            "address_1": "500 E Calaveras Blvd Ste 112",
            "city": "Milpitas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950357708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.