Individual provider Active NPI

Victoria Brooke Kott, DPT

  • Physical Therapist
  • Danville, CA
National Provider Identifier
1447977152
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
917 San Ramon Valley Blvd Ste 190
Danville, CA 94526-4032
Phone
(925) 552-5787
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 Primary

Addresses

Primary practice location

917 San Ramon Valley Blvd Ste 190
Danville, CA 94526-4032

Mailing address

6473 Sulu CT
San Jose, CA 95119-1936
Phone (408) 466-9143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206003349 CA Practitioner - Physical Therapist in Private Practice 8224407614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Ramon Valley Physical Therapy IncGroup PAC ID 6901874023, 12 clinicians

Practice addresses (Care Compare)

917 San Ramon Valley Blvd
Suite 190
Danville, CA 94526-4032
Phone (925) 552-5787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Ramon Valley Physical Therapy Inc. Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients

Locations

917 San Ramon Valley Blvd
Ste 190
Danville, CA 94526
Phone (925) 552-5787

12677 Alcosta Blvd
Ste 150
San Ramon, CA 94583
Phone (925) 355-1900

Organizations & group practices 1

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1447977152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6473 SULU CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191936",
            "telephone_number": "408-466-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SAN RAMON VALLEY BLVD STE 190",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264032",
            "telephone_number": "925-552-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTT",
        "first_name": "VICTORIA",
        "middle_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.