Individual provider Active NPI

Nicole Anae Fumagalli

  • Physical Therapist
  • Gilroy, CA
National Provider Identifier
1275300386
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9460 N Name Uno Ste 140
Gilroy, CA 95020-3532
Phone
(408) 847-0107
NPI assigned
Dec 8, 2023
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 CA Primary

Addresses

Primary practice location

9460 N Name Uno Ste 140
Gilroy, CA 95020-3532

Mailing address

9460 N Name Uno Ste 140
Gilroy, CA 95020-3532

Other practice location 1

18550 DePaul Dr
Ste. 100
Morgan Hill, CA 95037
Phone (408) 779-4343

Other practice location 2

1710 Memorial Dr Ste A
Hollister, CA 95023-5700
Phone (831) 637-8108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221004492 CA Practitioner - Physical Therapist in Private Practice 3173967700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zollinger Physical TherapyGroup PAC ID 3577547330, 6 clinicians

Practice addresses (Care Compare)

1710 Memorial Dr
Suite a
Hollister, CA 95023-5700
Phone (831) 637-8108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zollinger Physical Therapy Physical Therapist CurrentSince Dec 27, 2023 Accepting new patients
Zollinger Physical Therapy Physical Therapist CurrentSince Dec 10, 2023 Accepting new patients

Locations

8000 Santa Teresa Blvd
Ste 110
Gilroy, CA 95020
Phone (408) 847-0107

9460 No Name Uno
Ste 140
Gilroy, CA 95020
Phone (408) 847-0107

1710 Memorial Dr
Ste A
Hollister, CA 95023
Phone (831) 637-0108

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1275300386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 140",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 140",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203532",
            "telephone_number": "408-847-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18550 DePaul Dr",
            "address_2": "Ste. 100",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "95037",
            "country_code": "US",
            "telephone_number": "408-779-4343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "CA",
            "postal_code": "950235700",
            "country_code": "US",
            "telephone_number": "831-637-8108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUMAGALLI",
        "first_name": "NICOLE",
        "middle_name": "ANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.