MEDICARE: JAI CHOPRA PT, ATC, CSCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer		CA
2	225100000X	Physical Therapist	308833	CA

General Provider Information

NPI Number	:	1225573322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAI CHOPRA PT, ATC, CSCS

Provider Business Mailing Address
First Line	:	6368 DOVE AVE
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-4111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 FOSTORIA WAY STE A100
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-5570
Country	:	US
Telephone Number	:	925-222-5101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2016
Last Update Date	:	09/19/2025

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