Individual provider Active NPI

Maxwell Kam, PT

  • Physical Therapist
  • Milpitas, CA
National Provider Identifier
1255009767
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300818 Issued in CA
Practice address
500 E Calaveras Blvd Ste 112
Milpitas, CA 95035-7708
Phone
(408) 934-4700
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 300818 CA Primary

Addresses

Primary practice location

500 E Calaveras Blvd Ste 112
Milpitas, CA 95035-7708

Mailing address

1574 Magpie LN
Sunnyvale, CA 94087-3539

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince Sep 8, 2021 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince Sep 8, 2021 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist Past Accepting new patients
Richard P. Carr Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

500 E Calaveras Blvd
Ste 112
Milpitas, CA 95035
Phone (408) 733-3670

605 Tennant Ave
Ste F
Morgan Hill, CA 95037
Phone (408) 778-3434

Organizations & group practices 4

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1255009767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 MAGPIE LN",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD STE 112",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357708",
            "telephone_number": "408-934-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAM",
        "first_name": "MAXWELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.