Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shirin Etemad, PT

Individual provider Physical Therapist · NPI 1538403720

Shirin Etemad, PT is a Physical Therapist in Private Practice in Fremont, California. Qualified in 2012, 14 years ago. Practices with Lafayette Physical Therapy Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2296 Country Dr
Fremont, CA 94536-5315
Phone: (510) 797-9299
Fax: (510) 795-4739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 39567 (CA)

Record details

NPI number1538403720
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 12, 2012
Last updated in NPPESNovember 12, 2012
Mailing address2296 Country Dr, Fremont, CA 94536-5315

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lafayette Physical Therapy Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fremont