NPIMap

Organization Active NPI

Pleasanton Physical Therapy Services, Inc.

Doing business as Back on Track Physical Therapy

  • Physical Therapist
  • Pleasanton, CA
National Provider Identifier
1336295138
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12931 Issued in CA
Legal business name
PLEASANTON PHYSICAL THERAPY SERVICES, INC.
Doing business as
Back on Track Physical Therapy
Practice address
4456 Black Ave
Suite 150
Pleasanton, CA 94566-6146
Phone
(925) 426-6986
Fax
(925) 426-0277
NPI assigned
Jan 25, 2007
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Mr. Hiten Y Dave, RPTNPI 1639363112
Title
President
Phone
(925) 426-6986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT12931 CA Primary

Addresses

Primary practice location

4456 Black Ave
Suite 150
Pleasanton, CA 94566-6146

Mailing address

301 Lennon LN
Suite 202
Walnut Creek, CA 94598-2483
Phone (925) 934-6373

Other names 1

  • Back on Track Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207001260 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284690694 Receives reassigned benefits from 25 practitioners
Practice locations: Walnut Creek, CA; Pleasanton, CA; Concord, CA; Brentwood, CA

National Provider Directory

National Provider Directory

Locations

8385 Brentwood Blvd
Ste A
Brentwood, CA 94513
Phone (925) 516-9970

2280 Diamond Blvd
Ste 320
Concord, CA 94520
Phone (925) 269-9800

3128 Santa Rita Rd
Ste B
Pleasanton, CA 94566
Phone (925) 222-3195

4456 Black Ave
Ste 150
Pleasanton, CA 94566
Phone (925) 426-6986

5976 W Las Positas Blvd
Ste 110
Pleasanton, CA 94588
Phone (925) 426-6986

1840 San Miguel Dr
Ste 100
Walnut Creek, CA 94596
Phone (925) 356-8990

1904 Olympic Blvd
Ste 111
Walnut Creek, CA 94596
Phone (925) 378-7652

301 Lennon Ln
Ste 202
Walnut Creek, CA 94598
Phone (925) 934-6373

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1336295138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LENNON LN",
            "address_2": "SUITE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982483",
            "telephone_number": "925-934-6373",
            "fax_number": "925-934-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4456 BLACK AVE",
            "address_2": "SUITE 150",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666146",
            "telephone_number": "925-426-6986",
            "fax_number": "925-426-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTON PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "HITEN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-426-6986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back on Track Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.