Individual provider Active NPI

Neeva Patel Walker, MPT

  • Physical Therapist
  • Fremont, CA
National Provider Identifier
1154497808
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24391 Issued in CA
Practice address
704 Mowry Ave
Peak Performance PT
Fremont, CA 94536
Phone
(510) 790-3213
Fax
(510) 790-3337
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 PT24391 CA Primary

Addresses

Primary practice location

704 Mowry Ave
Peak Performance PT
Fremont, CA 94536

Mailing address

1895 Mowry Ave
Ste 115
Fremont, CA 94538-1766
Phone (510) 790-3213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080417000612 CA Practitioner - Physical Therapist in Private Practice 0749368686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Peak Performance Physical Therapy IncGroup PAC ID 5991602997, 3 clinicians

Practice addresses (Care Compare)

1895 Mowry Ave
Suite 115
Fremont, CA 94538-1766
Phone (510) 790-3213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy Inc CurrentSince Dec 1, 2010 Accepting new patients

Locations

1895 Mowry Ave
Ste 115
Fremont, CA 94538
Phone (510) 790-3213

704 Mowry Ave
Fremont, CA 94536
Phone (510) 790-3213

Organizations & group practices 1

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1154497808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE",
            "address_2": "STE 115",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381766",
            "telephone_number": "510-790-3213",
            "fax_number": "510-790-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MOWRY AVE",
            "address_2": "PEAK PERFORMANCE PT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94536",
            "telephone_number": "510-790-3213",
            "fax_number": "510-790-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NEEVA",
        "middle_name": "PATEL",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.