Active NPI
Daniel Recoder, PTA
- Physical Therapy Assistant
- Fremont, CA
National Provider Identifier
1356991392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 50210
- Practice address
- 39210 State St Ste 202
Fremont, CA 94538-1456 - Phone
- (510) 790-9480
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 50210 | CA | Primary |
Addresses
Primary practice location
39210 State St Ste 202
Fremont, CA 94538-1456
Mailing address
39210 State St Ste 202
Fremont, CA 94538-1456
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samasta Services Inc | Current | Accepting new patients | |
| Kokila Patel, Inc | Current | Accepting new patients |
Locations
39210 State St
Ste 202
Fremont, CA 94538
Phone (510) 441-8906
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1356991392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 202",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 202",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456",
"telephone_number": "510-790-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECODER",
"first_name": "DANIEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "50210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.