Individual provider Active NPI

Daniel Luis Alfaro, PT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1538418629
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38915 Issued in CA
Practice address
6780 North West Ave.
Fresno, CA 93711
Phone
(559) 439-2002
NPI assigned
Sep 5, 2012
Last updated
Jan 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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 PT38915 CA Primary

Addresses

Primary practice location

6780 North West Ave.
Fresno, CA 93711

Mailing address

7033 N Fresno St
Ste 202
Fresno, CA 93720-2976
Phone (559) 970-0229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121119000547 CA Practitioner - Physical Therapist in Private Practice 7810148988 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
Synergy Aquatic Therapy IncGroup PAC ID 2769818327, 2 clinicians

Practice addresses (Care Compare)

7005 N Chestnut Ave
Suite 102
Fresno, CA 93720-0348
Phone (559) 323-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38915CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Martines Physical Therapist, Physical Therapist CurrentSince Oct 26, 2012 Accepting new patients
Synergy Aquatic Therapy Inc Physical Therapist CurrentSince Dec 24, 2019 Accepting new patients
Advanced Physical and Occupational Therapy Physical Therapist PastSince Oct 26, 2012 Accepting new patients

Locations

6780 N West Ave
Ste 103
Fresno, CA 93711
Phone (559) 439-2002

7005 N Chestnut Ave
Ste 102
Fresno, CA 93720
Phone (559) 323-4100

7080 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-5580

Organizations & group practices 3

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1538418629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 N FRESNO ST",
            "address_2": "STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202976",
            "telephone_number": "559-970-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 NORTH WEST AVE.",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93711",
            "telephone_number": "559-439-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARO",
        "first_name": "DANIEL",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.