Individual provider Active NPI

Michael Tamaddoni, DPT

  • Physical Therapist
  • Danville, CA
National Provider Identifier
1326291402
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35000 Issued in CA
Practice address
315 Diablo Rd
Suite 110
Danville, CA 94526-3481
Phone
(925) 855-8350
Fax
(925) 855-8351
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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 35000 CA Primary

Addresses

Primary practice location

315 Diablo Rd
Suite 110
Danville, CA 94526-3481

Mailing address

315 Diablo Rd
Suite 110
Danville, CA 94526-3481
Phone (925) 855-8350

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

State licenses

LicenseStateTypeSpecialty
35000CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1326291402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 DIABLO RD",
            "address_2": "SUITE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263481",
            "telephone_number": "925-855-8350",
            "fax_number": "925-855-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DIABLO RD",
            "address_2": "SUITE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263481",
            "telephone_number": "925-855-8350",
            "fax_number": "925-855-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMADDONI",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.