Individual provider Active NPI

Swati Gupta

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1841746179
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302296 Issued in CA
Practice address
1263 Trumpeter PL
San Jose, CA 95131-3594
Phone
(469) 585-9695
NPI assigned
Aug 28, 2016
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 302296 CA Primary
Physical Therapist 225100000X 40QA10624900 NJ

Addresses

Primary practice location

1263 Trumpeter PL
San Jose, CA 95131-3594

Mailing address

547 E Celebration Way
South Plainfield, NJ 07080-5601
Phone (469) 585-9695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251204000487 CA Practitioner - Physical Therapist in Private Practice 5395238703 Reassigns benefits to 1 organization
I20260220002587 OR Practitioner - Physical Therapist in Private Practice 5395238703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7220 Hidden Meadow LN
Harrisburg, PA 17112-8720

7453 Pecan CT
Pleasanton, CA 94588-4802

8100 SW Nyberg St
Tualatin, OR 97062-8438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302296CAMDPhysical Therapist
40QA10624900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premere Rehab LLC Physical Therapist CurrentSince Aug 21, 2025 Accepting new patients

Locations

4254 Weathers St NE
Salem, OR 97301
Phone (503) 585-4602

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (360) 901-8111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1841746179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E CELEBRATION WAY",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805601",
            "telephone_number": "469-585-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 TRUMPETER PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951313594",
            "telephone_number": "469-585-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SWATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302296",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA10624900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.