Shyam Ullal,PT a Prof.Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 10423 Issued in CA

Legal business name

SHYAM ULLAL,PT A PROF.CORP

Doing business as

Frontier Worker Fitness & Therapy Sevices

Practice address

408 E 3Rd St
Suite F
Calexico, CA 92231-2854

Phone

(760) 357-8864

Fax

(760) 357-8866

NPI assigned

Oct 22, 2007

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shyam S Ullal, P.T.NPI 1558317586

Title

Ceo/Owner

Phone

(760) 357-8864

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Frontier Worker Fitness & Therapy Sevices Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shyam Sukumar Ullal, P.T.

  • Physical Therapist
  • Calexico, CA
  • NPI 1558317586
  Authorized official Same address or phone

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1932398450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SANDALWOOD DRIVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433674",
            "telephone_number": "760-357-8864",
            "fax_number": "760-357-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 3RD ST",
            "address_2": "SUITE F",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312854",
            "telephone_number": "760-357-8864",
            "fax_number": "760-357-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM ULLAL,PT A PROF.CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "ULLAL",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "760-357-8864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT  10423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVDUAL PTAN",
            "identifier": "WPT10423A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Worker Fitness & Therapy Sevices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Sanchez
• Olga Lizet Sanchez
• Lazaro Sardin
• Daniela Josephina Sepulveda
• Diana Martel Sevilla
• Cassandra Sillas, RN
• Serinna Singh, PHARMD
• Ratansinh Mansinh Solanki
• Soluhealth Healthcare, Inc.
• Southwest Diagnostic Services, LLC

• Physical Therapy Clinic/Center in Calexico, CA
• Providers in Calexico, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.