Healthcare Provider Details

I. General information

NPI: 1225573322
Provider Name (Legal Business Name): JAI CHOPRA PT, ATC, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2016
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 FOSTORIA WAY STE A100
DANVILLE CA
94526-5570
US

IV. Provider business mailing address

6368 DOVE AVE
DUBLIN CA
94568-4111
US

V. Phone/Fax

Practice location:
  • Phone: 925-222-5101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number308833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: