Organization
SHYAM ULLAL,PT A PROF.CORP
Active
Organization
SHYAM ULLAL,PT A PROF.CORP
Active
Other names
Frontier Worker Fitness & Therapy Sevices
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHYAM S ULLAL P.T. (CEO/OWNER)
(760) 357-8864
Entity
Organization
Contact information
Practice address
408 E 3RD ST, SUITE F, CALEXICO, CA 92231-2854
(760) 357-8864
(760) 357-8866
Mailing address
2330 SANDALWOOD DRIVE, EL CENTRO, CA 92243-3674
(760) 357-8864
(760) 357-8866
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 10423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT10423A
INDIVDUAL PTAN
CA
Enumeration date
10/22/2007
Last updated
11/20/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up