Organization Active NPI

Peregrine Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Orinda, CA
National Provider Identifier
1184258162
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Dr. Romy Havard, MS, DPT, OCSNPI 1366680076
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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.