Individual provider Active NPI

Timothy Appleford, MSPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1124117502
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29897 Issued in CA
Practice address
4980 Barranca Pkwy
Suite 202
Irvine, CA 92604-8645
Phone
(949) 552-9100
Fax
(949) 552-9102
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29897 CA Primary

Addresses

Primary practice location

4980 Barranca Pkwy
Suite 202
Irvine, CA 92604-8645

Mailing address

4980 Barranca Pkwy
Suite 202
Irvine, CA 92604-8645
Phone (949) 552-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000422 CA Practitioner - Physical Therapist in Private Practice 1951335421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29897CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace L Walker Physical Therapy a Professional Corporation Physical Therapist PastSince Jan 1, 2008 Accepting new patients
The Kinetic Chain Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1124117502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY",
            "address_2": "SUITE 202",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048645",
            "telephone_number": "949-552-9100",
            "fax_number": "949-552-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY",
            "address_2": "SUITE 202",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048645",
            "telephone_number": "949-552-9100",
            "fax_number": "949-552-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEFORD",
        "first_name": "TIMOTHY",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.