Individual provider Active NPI

Alice Hajdu, PT

  • Physical Therapist
  • Redding, CA
National Provider Identifier
1417421702
Registry record updated Jan 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294316 Issued in CA
Practice address
2449 Court St
Redding, CA 96001-2525
Phone
(530) 244-7686
NPI assigned
Jan 19, 2019
Last updated
Jan 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2019

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 PT294316 CA Primary

Addresses

Primary practice location

2449 Court St
Redding, CA 96001-2525

Mailing address

523 Fair Hill Dr
Redding, CA 96003-5219
Phone (805) 308-2556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320004162 CA Practitioner - Physical Therapist in Private Practice 7315384708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Spine and Sports Physical TherapyGroup PAC ID 7810138146, 3 clinicians

Practice addresses (Care Compare)

2620 Larkspur LN
Suite T
Redding, CA 96002-1043
Phone (530) 605-4422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT294316CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Spine & Sports Physical Therapy Physical Therapist CurrentSince Jun 4, 2025 Accepting new patients
Cresswell Physical Therapy and Hand Rehabilitation Inc Physical Therapist PastSince Oct 20, 2014 Accepting new patients

Locations

2620 Larkspur Ln
Ste T
Redding, CA 96002
Phone (530) 605-4422

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": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1417421702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FAIR HILL DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960035219",
            "telephone_number": "805-308-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012525",
            "telephone_number": "530-244-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJDU",
        "first_name": "ALICE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.