Krista L Nydam, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1801 Colorado Ave
Suite 260
Turlock, CA 95382-2708

Phone

(209) 216-3360

Fax

(209) 216-3365

NPI assigned

Sep 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tower Physical Therapy, Inc

  • Physical Therapist
  • Ceres, CA
  • NPI 1194062463
  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1427426501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE",
            "address_2": "SUITE 260",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822708",
            "telephone_number": "209-216-3360",
            "fax_number": "209-216-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE",
            "address_2": "SUITE 260",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822708",
            "telephone_number": "209-216-3360",
            "fax_number": "209-216-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDAM",
        "first_name": "KRISTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern California Surgery Center LP
• Adam Michael Novak, PA-C
• Carolina Nunez-Hernandez
• Olga Nunez, LCSW
• Joanna Dhamar Nuno
• Oasis Surgical Prof Corp
• OB GYN Associates of Turlock a Medical Group Inc
• Occupational Health Centers of California, a Medical Corporation
• Alea Ochoa
• Jerry Ochoa, LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.