Active NPI
Annmarie Decker, PT
- Specialist
- Pleasanton, CA
National Provider Identifier
1518339324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 19581
- Practice address
- 300 Neal St
Pleasanton, CA 94566-7317 - Phone
- (925) 462-2499
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT 19581 | CA | Primary |
Addresses
Primary practice location
300 Neal St
Pleasanton, CA 94566-7317
Mailing address
5197 Chesney Glen Dr
Castro Valley, CA 94552-5514
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 19581 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1518339324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5197 CHESNEY GLEN DR",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945525514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NEAL ST",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667317",
"telephone_number": "925-462-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "ANNMARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT 19581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.