NPIMap

Individual provider Active NPI

Anthony Michael Phillips, D.P.T.

  • Physical Therapist
  • Tracy, CA
National Provider Identifier
1639190044
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26664 Issued in CA
Practice address
1450 Bessie Avenue
Tracy, CA 95376
Phone
(209) 835-4888
Fax
(209) 835-6424
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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 26664 CA Primary

Addresses

Primary practice location

1450 Bessie Avenue
Tracy, CA 95376

Mailing address

413 Golden Leaf CT
Tracy, CA 95377-1110
Phone (209) 835-4888

Other identifiers 6

IdentifierTypeStateIssuer
00007OtherCAUNITED HEALTH CARE
098313OtherCAHEALTH NET
65730OtherCAINTERPLAN
GR0087960MedicaidCA
PT00026664OtherCABLUE CROSS
ZZZ09778ZOtherCABLUE SHIELD

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tokheim Corbett Physical Therapy Physical Therapist PastSince Sep 1, 2004 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Tracy Orthopedics and Sports Medical Center PastSince Sep 1, 2019 Accepting new patients
Physiotherapy Associates Inc PastSince Apr 30, 2003 Accepting new patients
Prime Home Physical Therapy P.C. Physical Therapist PastSince Dec 19, 2014 Accepting new patients
Motus Physical Therapy and Performance Inc Physical Therapist PastSince Jan 1, 2018 Accepting new patients

Organizations & group practices 6

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1639190044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 GOLDEN LEAF CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953771110",
            "telephone_number": "209-835-4888",
            "fax_number": "209-835-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BESSIE AVENUE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-835-4888",
            "fax_number": "209-835-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "00007",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "098313",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPLAN",
            "identifier": "65730",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PT00026664",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ09778Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.