Individual provider Active NPI

Manisha Kiran Shahani, P.T.

  • Physical Therapist
  • Foster City, CA
National Provider Identifier
1891096509
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 37302 Issued in CA
Practice address
800 Foster City Blvd
Foster City, CA 94404-2228
Phone
(650) 571-5185
Fax
(650) 571-5183
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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 PT 37302 CA Primary

Addresses

Primary practice location

800 Foster City Blvd
Foster City, CA 94404-2228

Mailing address

2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 248-6886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000680 CA Practitioner - Physical Therapist in Private Practice 0648456426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

1860 El Camino Real
Suite 201
Burlingame, CA 94010-3111
Phone (650) 259-8009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37302CAMDPharmacist
PT 37302CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC CurrentSince Apr 1, 2022 Accepting new patients
More Physical Therapy, Inc PastSince Oct 28, 2015 Accepting new patients

Locations

1860 El Camino Real
Ste 201
Burlingame, CA 94010
Phone (650) 259-8009

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

Organizations & group practices 4

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1891096509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261141",
            "telephone_number": "408-248-6886",
            "fax_number": "408-248-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FOSTER CITY BLVD",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042228",
            "telephone_number": "650-571-5185",
            "fax_number": "650-571-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHANI",
        "first_name": "MANISHA",
        "middle_name": "KIRAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 37302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.