Healthcare Provider Details

I. General information

NPI: 1548178247
Provider Name (Legal Business Name): NURTURA PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44190 BOITANO DR
FREMONT CA
94539-6332
US

IV. Provider business mailing address

44190 BOITANO DR
FREMONT CA
94539-6332
US

V. Phone/Fax

Practice location:
  • Phone: 408-372-6048
  • Fax:
Mailing address:
  • Phone: 408-372-6048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: PALAK SHAH
Title or Position: PRESIDENT
Credential: PT
Phone: 408-372-6048