Individual provider Active NPI

Victoria Liu, PT

  • Sports Physical Therapist
  • Dublin, CA
National Provider Identifier
1407974728
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT27483 Issued in CA
Practice address
8806 Oliver PL
Dublin, CA 94568-1380
Phone
(917) 776-5378
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT27483 CA Primary

Addresses

Primary practice location

8806 Oliver PL
Dublin, CA 94568-1380

Mailing address

8806 Oliver PL
Dublin, CA 94568-1380
Phone (917) 776-5378

Other identifiers 1

IdentifierTypeStateIssuer
PT 27489OtherCAPT LICENSE

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
PT27483CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironhorse Physical Therapy and Pilates Inc. Past Accepting new patients
Physiofit Physical Therapy & Wellness, P.C. Sports PastSince Nov 29, 2017 Accepting new patients
Jean-Pierre L Viel Past Accepting new patients
Kimberly Gladfelter Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1407974728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 OLIVER PL",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681380",
            "telephone_number": "917-776-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 OLIVER PL",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681380",
            "telephone_number": "917-776-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "VICTORIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT27483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT 27489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.