Individual provider Active NPI

Punam Patel

  • Physical Therapist
  • Los Altos, CA
National Provider Identifier
1881150936
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296349 Issued in CA
Practice address
794 Altos Oaks Dr
Los Altos, CA 94024-5401
Phone
(650) 947-9646
NPI assigned
Feb 13, 2019
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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 296349 CA Primary

Addresses

Primary practice location

794 Altos Oaks Dr
Los Altos, CA 94024-5401

Mailing address

794 Altos Oaks Dr
Los Altos, CA 94024-5401

Other identifiers 1

IdentifierTypeStateIssuer
296349OtherCACA PT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, DC, MA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190314002773 CA Practitioner - Physical Therapist in Private Practice 4385984053 Reassigns benefits to 1 organization
I20230830002223 VA Practitioner - Physical Therapist in Private Practice 4385984053 Reassigns benefits to 1 organization
I20231102003570 DC Practitioner - Physical Therapist in Private Practice 4385984053 Reassigns benefits to 1 organization
I20250605002131 MA Practitioner - Physical Therapist in Private Practice 4385984053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients
Shadduck - Physical Therapy Works Inc Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince May 27, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 27, 2025 Accepting new patients

Locations

794 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 947-9646

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

45 Dimock St
Roxbury, MA 02119

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

Organizations & group practices 5

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1881150936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245401",
            "telephone_number": "650-947-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PUNAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PT LICENSE",
            "identifier": "296349",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.