NPIMap

Organization Active NPI

Pacer Physical Therapy, Inc.

  • Specialist
  • San Ramon, CA
National Provider Identifier
1568615979
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT26394 Issued in CA
Legal business name
PACER PHYSICAL THERAPY, INC.
Practice address
2330 San Ramon Valley Blvd
San Ramon, CA 94583-1608
Phone
(925) 855-1733
Fax
(925) 855-1758
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Ms. Tania F. Bajada, MPTNPI 1205947348
Title
Director/Physical Therapist
Phone
(925) 930-6680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT26394 CA Primary

Addresses

Primary practice location

2330 San Ramon Valley Blvd
San Ramon, CA 94583-1608

Mailing address

2255 Ygnacio Valley Rd
Suite E
Walnut Creek, CA 94598-3343
Phone (925) 930-6680

Other identifiers 1

IdentifierTypeStateIssuer
PT26394OtherCAPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090114000456 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244393429 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Ramon, CA; Walnut Creek, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pacer Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2255 Ygnacio Valley Rd
Ste E
Walnut Creek, CA 94598
Phone (925) 930-6680

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1568615979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD",
            "address_2": "SUITE E",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983343",
            "telephone_number": "925-930-6680",
            "fax_number": "925-930-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SAN RAMON VALLEY BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831608",
            "telephone_number": "925-855-1733",
            "fax_number": "925-855-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "BAJADA",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "925-930-6680",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT26394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT26394",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.