Active NPI
Ann Teresa Vivian, PT
- Physical Therapist
- Sunnyvale, CA
National Provider Identifier
1073536264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15931
- Practice address
- 125 Connemara Way
#132
Sunnyvale, CA 94087-3282 - Phone
- (650) 696-4763
- Fax
- (650) 696-4954
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15931 | CA | Primary |
Addresses
Primary practice location
125 Connemara Way
#132
Sunnyvale, CA 94087-3282
Mailing address
125 Connemara Way
#132
Sunnyvale, CA 94087-3282
Phone (650) 696-4763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15931 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073536264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 CONNEMARA WAY",
"address_2": "#132",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873282",
"telephone_number": "650-696-4763",
"fax_number": "650-696-4954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CONNEMARA WAY",
"address_2": "#132",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873282",
"telephone_number": "650-696-4763",
"fax_number": "650-696-4954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVIAN",
"first_name": "ANN",
"middle_name": "TERESA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "15931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.