Amy Lynn Babcock, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 26715 Issued in CA

Practice address

150 Portola Rd
Portola Valley, CA 94028-7852

Phone

(650) 851-1145

Fax

(650) 851-9251

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amy Lynn Fowlkes Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shadduck - Physical Therapy Works IncGroup PAC ID 6507259538, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.05 of 100Reported as group

Quality

100

Improvement activities

40

Cost

93.49

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shadduck - Physical Therapy Works Inc

  • Physical Therapist
  • Los Altos, CA
  • NPI 1114678794
  Medicare reassignment Care Compare group NPD
• Agile Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
  • NPI 1659445443
  Medicare reassignment
• PT Works

  • Physical Therapist
  • Los Altos, CA
  • NPI 1932114519
  NPD
• Lisa Green Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Portola Valley, CA
  • NPI 1376246470
  NPD (past)
• Pacific Therx

  • Physical Therapy Clinic/Center
  • Portola Valley, CA
  • NPI 1508315300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053394445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PORTOLA RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287852",
            "telephone_number": "650-851-1145",
            "fax_number": "650-851-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PORTOLA RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287852",
            "telephone_number": "650-851-1145",
            "fax_number": "650-851-9251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 W El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "94040",
            "country_code": "US",
            "telephone_number": "650-961-7370",
            "fax_number": "650-961-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 26715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FOWLKES",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Malathi Acharya, M.D.
• Alpine Physical Therapy and Fitness
• Janet Andrews, DDS
• Sueann Barsh, OTD, OTR/L
• Kristine Allyn Besio
• Craig Brandman, M.D.
• Deleys Brandman, M.D
• Burton Brent

• Physical Therapist in Portola Valley, CA
• Providers in Portola Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.