Individual provider Active NPI

Brijpal Singh Pataria, DPT

  • Physical Therapist
  • Stockton, CA
National Provider Identifier
1295066884
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36405 Issued in CA
Practice address
4339 E Morada LN Ste 150
Stockton, CA 95212-1634
Phone
(209) 888-6346
NPI assigned
Jan 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 36405 CA Primary

Addresses

Primary practice location

4339 E Morada LN Ste 150
Stockton, CA 95212-1634

Mailing address

3615 San Marco Dr
Stockton, CA 95212-3503
Phone (209) 251-2425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000212 CA Practitioner - Physical Therapist in Private Practice 6002943784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motion Physical Therapy and Rehab IncGroup PAC ID 1355629122, 8 clinicians

Practice addresses (Care Compare)

4339 E Morada LN
Suite 150
Stockton, CA 95212-1634
Phone (209) 888-6346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36405CAMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Physical Therapy and Rehab Inc CurrentSince Aug 13, 2016 Accepting new patients

Locations

4339 E Morada Ln
Ste 150
Stockton, CA 95212
Phone (209) 888-6341

1617 Saint Marks Plz
Ste B
Stockton, CA 95207
Phone (209) 406-8478

Organizations & group practices 1

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1295066884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SAN MARCO DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952123503",
            "telephone_number": "209-251-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 E MORADA LN STE 150",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952121634",
            "telephone_number": "209-888-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATARIA",
        "first_name": "BRIJPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.