Ishita N Sura, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39318 Issued in CA

Practice address

20823 Stevens Creek Blvd
#200
Cupertino, CA 95014-2108

Phone

(408) 252-6076

Fax

(408) 252-1159

NPI assigned

Nov 1, 2007

Last updated

Jul 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richard P. Carr Physical Therapy Inc

  dba Morgan Hill Physical Therapy, Inc

  • Physical Therapist
  • Morgan Hill, CA
  • NPI 1306829452
  NPD (past)
• Orthopedic Associates of Naperville SC

  • Specialist
  • Naperville, IL
  • NPI 1699892794
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1861671216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD",
            "address_2": "STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351546",
            "telephone_number": "408-841-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20823 STEVENS CREEK BLVD",
            "address_2": "#200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142108",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURA",
        "first_name": "ISHITA",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "39318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Shria Sun, LAC
• Lijun Sun, L.AC
• Sunol Hills LLC (Mid-Peninsula Eating Disorder Clinic)
• Sunshine Health Care Center
• Sunshine Wellness & Acupuncture Healing Center Inc.
• Karen Swinehart, MS, O.T.R./L.
• Kirsten Diane Sylvester, PTA
• T & G 2010 LLC (Qianfang Acupuncture)
• Sharareh Tajbakhsh, DDS,MS
• Amanda Kaitlyn Tam, PHARMD

• Physical Therapist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.