Active NPI
Peregrine Physical Therapy, Inc
- Orthopedic Physical Therapist
- Orinda, CA
National Provider Identifier
1184258162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- PEREGRINE PHYSICAL THERAPY, INC
- Practice address
- 15 Altarinda Rd Ste 203
Orinda, CA 94563-2607 - Phone
- (925) 750-8126
- NPI assigned
- Feb 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Romy Havard, MS, DPT, OCS
- Title
- Owner, Ceo
- Phone
- (925) 750-8126
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
15 Altarinda Rd Ste 203
Orinda, CA 94563-2607
Mailing address
24 Oval Rd
Oakland, CA 94611-1828
Phone (925) 750-8126
Other names 1
- Peregrine Physical Therapy
National Provider Directory
National Provider DirectoryLocations
15 Altarinda Rd
Ste 203
Orinda, CA 94563
Phone (925) 297-5573
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Union City, CA
- NPI 1366680076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1184258162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 OVAL RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111828",
"telephone_number": "925-750-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ALTARINDA RD STE 203",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632607",
"telephone_number": "925-750-8126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEREGRINE PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A",
"authorized_official_last_name": "HAVARD",
"authorized_official_first_name": "ROMY",
"authorized_official_title_or_position": "OWNER, CEO",
"authorized_official_telephone_number": "925-750-8126",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MS, DPT, OCS"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peregrine Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.