Intrahealth Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14818 Issued in CA

Legal business name

INTRAHEALTH PHYSICAL THERAPY

Practice address

21020 Homestead Rd
Suite 2
Cupertino, CA 95014-0240

Phone

(408) 530-0005

Fax

(408) 530-9473

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Petra A Eggert, D.C.NPI 1164467783

Title

President

Phone

(408) 530-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Petra A Eggert, DC PT

  • Physical Therapist
  • Cupertino, CA
  • NPI 1164467783
  Medicare reassignment NPD Authorized official
• Irina Borodulin-Smik, PAC, DC

  • Physician Assistant
  • Mountain View, CA
  • NPI 1629098116
  NPD (past)
• Shruti Chitale, PTA

  • Physical Therapy Assistant
  • Cupertino, CA
  • NPI 1699283994
  NPD (past)
• Mary Ellen Jones, SLP

  • Speech-Language Pathologist
  • Cupertino, CA
  • NPI 1306970819
  NPD (past)
• Shweta Bhatnagar, PHYSICAL THERAPIST

  • Physical Therapist
  • Milwaukie, OR
  • NPI 1982794392
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1891739314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21020 HOMESTEAD RD",
            "address_2": "SUITE 2",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140240",
            "telephone_number": "408-530-0005",
            "fax_number": "408-530-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 HOMESTEAD RD",
            "address_2": "SUITE 2",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140240",
            "telephone_number": "408-530-0005",
            "fax_number": "408-530-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAHEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "PETRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-530-0005",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ64183Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzaneh Imani
• Nicholas P Infantino, DDS
• Samuel Joseph Infantino, DDS
• Insiya Saboowala DDS Inc
• Integrated Physical Therapy and Wellness Inc
• Phyllis M. Ishida, D.D.S.
• Sachi K Itow, MPT
• Marc-Alan Iwahashi, M.D.,
• Shraddha Ramesh Iyengar
• Narges Izadi

• 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 May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.