Ayurbliss Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AYURBLISS PHYSICAL THERAPY INC

Practice address

407 N San Mateo Dr
San Mateo, CA 94401-2417

Phone

(949) 293-2950

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Rucha Kelkar, DPTNPI 1518129394

Title

Physical Therapist

Phone

(949) 293-2950

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Rucha Kelkar, DPT

  • Physical Therapist
  • San Mateo, CA
  • NPI 1518129394
  Medicare reassignment NPD Authorized official
• Lindsay Rademacher

  • Rehabilitation Chiropractor
  • San Mateo, CA
  • NPI 1982812178
  NPD (past)
• Lisa Walsh, DC

  • Chiropractor
  • San Mateo, CA
  • NPI 1497888242
  NPD (past)

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1972104594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 GULL AVE",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041428",
            "telephone_number": "949-293-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012417",
            "telephone_number": "949-293-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYURBLISS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "KELKAR",
        "authorized_official_first_name": "RUCHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "949-293-2950",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swati Awsare, M.D.
• Gennesis Sharai Ayala
• Marie Therese Aymard
• Sahar Ayoubi
• Amir Ayromloo
• Ayurbliss,LLC
• Hend Azzerayer
• Angela Baca
• Marilyn Mellott Bacigalupi, MFT
• Lauren Bactad

• Physical Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.