Provider Demographics
NPI:1013882588
Name:KAPATKAR, SHUBHANGI (BE, MBA, LMT)
Entity type:Individual
Prefix:
First Name:SHUBHANGI
Middle Name:
Last Name:KAPATKAR
Suffix:
Gender:F
Credentials:BE, MBA, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15280 BLACKBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-7507
Mailing Address - Country:US
Mailing Address - Phone:408-310-5814
Mailing Address - Fax:
Practice Address - Street 1:430 MONTEREY AVE STE 2
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-5323
Practice Address - Country:US
Practice Address - Phone:408-214-7539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95047225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist