Individual provider Active NPI

Natalia Bohdanna Ushak, PT

  • Physical Therapist
  • San Dimas, CA
National Provider Identifier
1881863223
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34449 Issued in CA
Practice address
1335 Cypress St
Suite 100
San Dimas, CA 91773-3537
Phone
(909) 305-1383
Fax
(909) 305-1435
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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 PT34449 CA Primary

Addresses

Primary practice location

1335 Cypress St
Suite 100
San Dimas, CA 91773-3537

Mailing address

PO Box 3751
Santa Cruz, CA 95063-3751
Phone (831) 457-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000861 CA Practitioner - Physical Therapist in Private Practice 7113004854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Los Gatos Orthopedic Sports Therapy, Inc.Group PAC ID 1153417951, 8 clinicians

Practice addresses (Care Compare)

16615 Lark Ave
Suite 101
Los Gatos, CA 95032-7645
Phone (408) 358-1460

Merit-based Incentive Payment System (MIPS)

Final score
91.28 of 100Reported as group
Quality
93.6
Improvement activities
40
Cost
79.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34449CAMDClinical Child & Adolescent Psychologist
PT34449CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Gatos Hand Therapy, LLC CurrentSince Aug 1, 2025 Accepting new patients
Los Gatos Orthopedic Sports Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Covina Hills Sports Medicine Inc Physical Therapist PastSince Jul 1, 2001 Accepting new patients
Thaila Ramanujam M D Inc Past Accepting new patients

Locations

16615 Lark Ave
Ste 101
Los Gatos, CA 95032
Phone (408) 358-1460

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJGBA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1881863223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3751",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950633751",
            "telephone_number": "831-457-1800",
            "fax_number": "831-457-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS ST",
            "address_2": "SUITE 100",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733537",
            "telephone_number": "909-305-1383",
            "fax_number": "909-305-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USHAK",
        "first_name": "NATALIA",
        "middle_name": "BOHDANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.