NPIMap

Organization Active NPI

Tice Valley Physcial Therapy Inc.

Doing business as Walnut Creek Physical Therapy and Sports Medicine

  • Physical Therapy Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1578860748
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT21277 Issued in CA
Legal business name
TICE VALLEY PHYSCIAL THERAPY INC.
Doing business as
Walnut Creek Physical Therapy and Sports Medicine
Practice address
101 Ygnacio Valley Rd Ste 400
Walnut Creek, CA 94596-4087
Phone
(925) 935-0510
Fax
(925) 935-0750
NPI assigned
Feb 23, 2011
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
TICE VALLEY PHYSICAL THERAPY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Mr. Donald J Dendinger, PTNPI 1841402039
Title
PT/Owner
Phone
(925) 935-0510

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
Physical Therapy Clinic/Center 261QP2000X PT21277 CA Primary

Addresses

Primary practice location

101 Ygnacio Valley Rd Ste 400
Walnut Creek, CA 94596-4087

Mailing address

1874 Tice Valley Blvd
Walnut Creek, CA 94595-2224
Phone (925) 935-0510

Other names 1

  • Walnut Creek Physical Therapy and Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tice Valley Physical TH2 organizations share this tax ID, including this one
Part of
Tice Valley Physical TH

Other organizations with this tax ID 1

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

Locations

101 Ygnacio Valley Rd
Ste 400
Walnut Creek, CA 94596
Phone (925) 944-0110

Practitioners & affiliated clinicians

Practitioners 6

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": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1578860748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 TICE VALLEY BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952224",
            "telephone_number": "925-935-0510",
            "fax_number": "925-935-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YGNACIO VALLEY RD STE 400",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964087",
            "telephone_number": "925-935-0510",
            "fax_number": "925-935-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICE VALLEY PHYSCIAL THERAPY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TICE VALLEY PHYSICAL THERAPY INC.",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "DENDINGER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "925-935-0510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT21277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Creek Physical Therapy and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.