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Surya Ravi Shanthi

Physical Therapist in Sunnyvale, CA. Individual provider (NPI-1).

NPI number1194485227
StatusActive
Last updated in NPPESDec 30, 2021

Details

NPI
1194485227
Entity type
Individual (NPI-1)
Name
Surya Ravi Shanthi
Sex
Female
Sole proprietor
No
Enumeration date
Dec 30, 2021
Certification date
Dec 30, 2021
Last updated
Dec 30, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist301486CAYes

Practice location

505 W Olive Ave
Sunnyvale, CA 94086-7621

Phone 669-241-1062

Mailing address

6444 Laurel Creek Pl
Livermore, CA 94551-8954

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Sunnyvale, CA

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