Active NPI
Allen Qian, DPT, MS
- Physical Therapist
- Pleasant Hill, CA
National Provider Identifier
1245704485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24187
- Practice address
- 3478 Buskirk Ave Ste 336
Pleasant Hill, CA 94523-7312 - Phone
- (925) 932-3656
- NPI assigned
- Jan 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 300291 | CA | |
| Physical Therapist | 225100000X | 27508 | MD | |
| Physical Therapist | 225100000X | 2305212679 | VA | |
| Physical Therapist | 225100000X | PT004064 | WV | |
| Physical Therapist | 225100000X | PT5336 | ME | |
| Physical Therapist | 225100000X | 24187 | MA | Primary |
Addresses
Primary practice location
3478 Buskirk Ave Ste 336
Pleasant Hill, CA 94523-7312
Mailing address
655 S Willow St Ste 128
Manchester, NH 03103-5723
Phone (800) 995-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24187 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 27508 | MD | MD | Clinical Social Worker |
| 300291 | CA | MD | Physical Therapist |
| PT5336 | ME | MD | Physical Therapist |
| 2305212679 | VA | MD | Physical Therapist |
| PT004064 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tender Loving Care Health Care Services Western, LLC | Past | Accepting new patients | |
| Tender Loving Care Health Care Services Western, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- San Diego, CA
- NPI 1003860206
-
- Home Health Agency
- Campbell, CA
- NPI 1538228218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1245704485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S WILLOW ST STE 128",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035723",
"telephone_number": "800-995-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3478 BUSKIRK AVE STE 336",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945237312",
"telephone_number": "925-932-3656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIAN",
"first_name": "ALLEN",
"credential": "DPT, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-21",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300291",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27508",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212679",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT004064",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5336",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.