Active NPI
Purvi Dave
- Physical Therapist
- Tustin, CA
National Provider Identifier
1972993780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35808
- Practice address
- 1231 Palm CT
Tustin, CA 92780-6118 - Phone
- (714) 510-7201
- NPI assigned
- Jan 31, 2015
- 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 | 35808 | CA | Primary |
Addresses
Primary practice location
1231 Palm CT
Tustin, CA 92780-6118
Mailing address
1231 Palm CT
Tustin, CA 92780-6118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35808 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422662400000",
"number": "1972993780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 PALM CT",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 PALM CT",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806118",
"telephone_number": "714-510-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "PURVI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-31",
"last_updated": "2015-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.