Active NPI
Mridula Chandhoke
- Physical Therapist
- Tracy, CA
National Provider Identifier
1831487388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28784
- Practice address
- 1973 N. Tracy Blvd
Tracy, CA 95376-2459 - Phone
- (209) 833-9490
- NPI assigned
- Jul 19, 2011
- 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 | 28784 | CA | Primary |
Addresses
Primary practice location
1973 N. Tracy Blvd
Tracy, CA 95376-2459
Mailing address
P.O. Box1155
Tracy, CA 95378-1155
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28784 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrantcare Outpatient Rehabilitation of California Inc | Past | 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.
-
dba VibrantCare Rehabilitation
- Physical Therapy Clinic/Center
- Castro Valley, CA
- NPI 1083618573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1831487388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX1155",
"city": "TRACY",
"state": "CA",
"postal_code": "953781155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1973 N. TRACY BLVD",
"city": "TRACY",
"state": "CA",
"postal_code": "953762459",
"telephone_number": "209-833-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDHOKE",
"first_name": "MRIDULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.