NPIMap

Organization Active NPI

Samasta Services Inc

Doing business as Tri-City Physical Therapy

  • Physical Therapist
  • Union City, CA
National Provider Identifier
1124427430
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28422 Issued in CA
Legal business name
SAMASTA SERVICES INC
Doing business as
Tri-City Physical Therapy
Practice address
2805 Whipple Rd
Union City, CA 94587-1233
Phone
(510) 441-8906
NPI assigned
Aug 22, 2014
Last updated
Aug 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Preetha Nair, PTNPI 1831510429
Title
President
Phone
(510) 825-2505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 28422 CA Primary

Addresses

Primary practice location

2805 Whipple Rd
Union City, CA 94587-1233

Mailing address

34278 Lennox CT
Fremont, CA 94555-2132
Phone (510) 825-2505

Other practice location 1

39210 State St
Fremont, CA 94538-1456
Phone (510) 790-9480

Other names 1

  • Tri-City Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141107001292 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133341092 Receives reassigned benefits from 8 practitioners
Practice locations: Union City, CA; Fremont, CA

National Provider Directory

National Provider Directory

Locations

39210 State St
Fremont, CA 94538
Phone (510) 790-9480

39210 State St
Ste 202
Fremont, CA 94538
Phone (510) 441-8906

29400 Kohoutek Way
Ste 150
Union City, CA 94587
Phone (510) 441-8906

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1124427430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34278 LENNOX CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552132",
            "telephone_number": "510-825-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 WHIPPLE RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871233",
            "telephone_number": "510-441-8906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39210 State St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381456",
            "country_code": "US",
            "telephone_number": "510-790-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMASTA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "PREETHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-825-2505",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-City Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-City Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.