Kathrinamay Basa, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT302686 Issued in CA

Practice address

3908 Valley Ave Ste B
Pleasanton, CA 94566-4872

Phone

(925) 417-8005

Fax

(925) 417-8881

NPI assigned

Aug 30, 2022

Last updated

Jan 17, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ida L Coryell HirstGroup PAC ID 5890761514, 7 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ida L Coryell Hirst

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1861494031
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1124748272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 VALLEY AVE STE B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664872",
            "telephone_number": "925-417-8005",
            "fax_number": "925-417-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 VALLEY AVE STE B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664872",
            "telephone_number": "925-417-8005",
            "fax_number": "925-417-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASA",
        "first_name": "KATHRINAMAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Bartl-Geller
• Madelyn Bartolome
• Jacqueline Yamil Bartolomei, M.S., S.L.P.-CCC
• Cierra Marie Barton
• Upama Barua
• Nabihah Zehra Basravi
• Bass Medical Group
• Bass Medical Group
• Bass Medical Group
• Larissa J Bateman, M.S., LMFT

• Physical Therapist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.