Active NPI
Swati Gupta
- Physical Therapist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302296
- Practice address
- 1263 Trumpeter PL
San Jose, CA 95131-3594 - Phone
- (469) 585-9695
- NPI assigned
- Aug 28, 2016
- Last updated
- Aug 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 302296 | CA | MD | Physical Therapist |
| 40QA10624900 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premere Rehab LLC | Physical Therapist | Current | 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.