Organization Active NPI

Tice Valley Physical Therapy and Sports Medicine Inc.

  • Physical Therapy Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1275633000
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 19177 Issued in CA
Legal business name
TICE VALLEY PHYSICAL THERAPY AND SPORTS MEDICINE INC.
Practice address
2540 Camino Diablo Ste 100
Walnut Creek, CA 94597-3950
Phone
(925) 935-0510
Fax
(925) 935-0750
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Mr. Don Dendinger
Title
Owner
Phone
(925) 935-0510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 21277 CA
Physical Therapy Clinic/Center 261QP2000X PT 19177 CA Primary

Addresses

Primary practice location

2540 Camino Diablo Ste 100
Walnut Creek, CA 94597-3950

Mailing address

1874 Tice Valley Blvd
Walnut Creek, CA 94595-2224
Phone (925) 935-0510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070530000533 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476453697 Receives reassigned benefits from 2 practitioners
Practice locations: Walnut Creek, CA

National Provider Directory

National Provider Directory
Tax ID family
Tice Valley Physical TH2 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.

Locations

2540 Camino Diablo
Ste 100
Walnut Creek, CA 94597
Phone (925) 935-0510

Practitioners & affiliated clinicians

Practitioners 6

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1275633000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 TICE VALLEY BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952224",
            "telephone_number": "925-935-0510",
            "fax_number": "925-935-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 CAMINO DIABLO STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973950",
            "telephone_number": "925-935-0510",
            "fax_number": "925-935-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICE VALLEY PHYSICAL THERAPY AND SPORTS MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "DENDINGER",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-935-0510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 21277",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 19177",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2026; 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.