Organization Active NPI

Terrapin Physical Therapy Inc PC

  • Physical Therapist
  • Monterey, CA
National Provider Identifier
1437215654
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23205 Issued in CA
Legal business name
TERRAPIN PHYSICAL THERAPY INC PC
Practice address
5 Harris CT
Building T, Suite 102
Monterey, CA 93940-5750
Phone
(831) 372-3579
Fax
(831) 372-3779
NPI assigned
Dec 29, 2006
Last updated
Nov 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Heidi Anne Pazzaglia
Title
Office Manager
Phone
(831) 372-3579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23205 CA Primary

Addresses

Primary practice location

5 Harris CT
Building T, Suite 102
Monterey, CA 93940-5750

Mailing address

5 Harris CT
Building T, Suite 102
Monterey, CA 93940-5750
Phone (831) 372-3579

Other identifiers 2

IdentifierTypeStateIssuer
RPT23205OtherCASTATE
1093716144OtherNPI FOR TONY PAZZAGLIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091008000552 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183760903 Receives reassigned benefits from 3 practitioners
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

5 Harris Ct
Ste 102
Monterey, CA 93940
Phone (831) 372-3579

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1437215654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT",
            "address_2": "BUILDING T, SUITE 102",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-372-3579",
            "fax_number": "831-372-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT",
            "address_2": "BUILDING T, SUITE 102",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-372-3579",
            "fax_number": "831-372-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRAPIN PHYSICAL THERAPY INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "PAZZAGLIA",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-372-3579"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "RPT23205",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR TONY PAZZAGLIA",
            "identifier": "1093716144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.