Ada Kan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298741 Issued in CA

Practice address

3530 Fruitvale Ave
Oakland, CA 94602-2327

Phone

(510) 333-1527

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pleasanton Physical Therapy Services IncGroup PAC ID 4284690694, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pleasanton Physical Therapy Services, Inc.

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1336295138
  Medicare reassignment Care Compare group NPD
• Montclair Physical Therapy, Inc.

  • Physical Therapist
  • Oakland, CA
  • NPI 1699791897
  Medicare reassignment

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1407467954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 ALBERDAN CIR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642701",
            "telephone_number": "510-333-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022327",
            "telephone_number": "510-333-1527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1067 Alberdan Cir",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "945642701",
            "country_code": "US",
            "telephone_number": "510-333-1527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAN",
        "first_name": "ADA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce D. Kamin, L.C.S.W.
• Sarah Berne Kaminshine
• Deborah Kaminski, LCSW
• Gracelin Kamkong
• Bamidele Fayemi Kammen, MD
• Homer CHI-Ho Kan, PHARM.D.
• Nami Kan
• Selena Kan, RN
• Sze Yan Kan
• Astha Kanani, M.D.

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.