NPIMap

Organization Active NPI

Pacer Physical Therapy, Inc.

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1265685820
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT26394 Issued in CA
Legal business name
PACER PHYSICAL THERAPY, INC.
Practice address
2255 Ygnacio Valley Rd
Suite E
Walnut Creek, CA 94598-3343
Phone
(925) 930-6680
Fax
(925) 930-7867
NPI assigned
Oct 28, 2008
Last updated
Oct 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Ms. Tania F. Bajada, MPTNPI 1205947348
Title
Director/Physical Therapist
Phone
(925) 930-6680

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
Specialist 174400000X PT26394 CA Primary

Addresses

Primary practice location

2255 Ygnacio Valley Rd
Suite E
Walnut Creek, CA 94598-3343

Mailing address

2255 Ygnacio Valley Road
Suite E
Walnut Creek, CA 94598-2666
Phone (925) 930-6680

Other identifiers 1

IdentifierTypeStateIssuer
PT26394OtherCAPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090114000456 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244393429 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: San Ramon, CA; Walnut Creek, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pacer Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1265685820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY ROAD",
            "address_2": "SUITE E",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982666",
            "telephone_number": "925-930-6680",
            "fax_number": "925-930-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD",
            "address_2": "SUITE E",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983343",
            "telephone_number": "925-930-6680",
            "fax_number": "925-930-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "BAJADA",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "925-930-6680",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT26394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT26394",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.