Individual provider Active NPI

Pamela A Whitman, PT

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1326757337
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-19015 Issued in CA
Practice address
1528 Arbutus Dr
Walnut Creek, CA 94595-1744
Phone
(925) 381-7780
Fax
(707) 361-0987
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 PT-19015 CA Primary

Addresses

Primary practice location

1528 Arbutus Dr
Walnut Creek, CA 94595-1744

Mailing address

1528 Arbutus Dr
Walnut Creek, CA 94595-1744
Phone (925) 381-7780

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
PT-19015CAMDPhysical Therapist
19015CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1326757337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 ARBUTUS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951744",
            "telephone_number": "925-381-7780",
            "fax_number": "707-361-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 ARBUTUS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951744",
            "telephone_number": "925-381-7780",
            "fax_number": "707-361-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT-19015",
            "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 Dec 1, 2022; 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.