Individual provider Active NPI

Khushboo Ronak Shah, PT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1992299721
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294883 Issued in CA
Practice address
2145 The Alameda
San Jose, CA 95126-1141
Phone
(408) 606-8201
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT294883 CA Primary

Addresses

Primary practice location

2145 The Alameda
San Jose, CA 95126-1141

Mailing address

2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 606-8201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001002606 CA Practitioner - Physical Therapist in Private Practice 1456602499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

182 S Murphy Ave
Sunnyvale, CA 94086-6112
Phone (408) 329-9604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT294883CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Hand Therapy Physical Therapist CurrentSince Aug 4, 2019 Accepting new patients
Shasta Health Physical Therapy, P.C. Physical Therapist CurrentSince Feb 10, 2024 Accepting new patients
Motion Centric Rehabilitation LLC Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Apogee Rehabilitative Therapy Services Physical Therapist CurrentSince Aug 4, 2019 Accepting new patients

Locations

1716 Miramonte Ave
Mountain View, CA 94040
Phone (650) 934-0455

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

182 S Murphy Ave
Sunnyvale, CA 94086
Phone (408) 329-9604

Organizations & group practices 4

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1992299721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261141",
            "telephone_number": "408-606-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261141",
            "telephone_number": "408-606-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KHUSHBOO",
        "middle_name": "RONAK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.

Verify at the official NPI Registry.