Individual provider Active NPI

Shilpa Datt, RPT,CCM

  • Physical Therapist
  • Fremont, CA
National Provider Identifier
1851287148
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21385 Issued in CA
Practice address
43512 Laurel Glen CMN
Fremont, CA 94539-3401
Phone
(510) 999-1394
NPI assigned
Jun 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21385 CA Primary

Addresses

Primary practice location

43512 Laurel Glen CMN
Fremont, CA 94539-3401

Mailing address

43512 Laurel Glen CMN
Fremont, CA 94539-3401
Phone (510) 999-1394

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": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1851287148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43512 LAUREL GLEN CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393401",
            "telephone_number": "510-999-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43512 LAUREL GLEN CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393401",
            "telephone_number": "510-999-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATT",
        "first_name": "SHILPA",
        "credential": "RPT,CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.