Active NPI
Swati Dutta
- Physical Therapist
- Hayward, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41676
- Practice address
- 1628 B St
Hayward, CA 94541-3020 - Phone
- (510) 582-4636
- NPI assigned
- Dec 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 41676 | CA | Primary |
Addresses
Primary practice location
1628 B St
Hayward, CA 94541-3020
Mailing address
33795 Whitehead LN
Fremont, CA 94555-1428
Phone (408) 893-2877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22445 Cupertino Rd
Cupertino, CA 95014-1052
Phone (732) 994-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41676 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
22445 Cupertino Rd
Cupertino, CA 95014
Phone (408) 253-4300
1525 Post St
San Francisco, CA 94109
Phone (415) 202-7800
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
Organizations & group practices 1
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": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1972047736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33795 WHITEHEAD LN",
"city": "FREMONT",
"state": "CA",
"postal_code": "945551428",
"telephone_number": "408-893-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 B ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413020",
"telephone_number": "510-582-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTA",
"first_name": "SWATI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-14",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.