Individual provider Active NPI

Hiten Y Dave, RPT

  • Physical Therapist
  • Pleasanton, CA
National Provider Identifier
1639363112
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12931 Issued in CA
Practice address
3120 Santa Rita Rd
A
Pleasanton, CA 94566-8304
Phone
(925) 426-6986
Fax
(925) 426-0277
NPI assigned
Aug 28, 2007
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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 PT12931 CA Primary

Addresses

Primary practice location

3120 Santa Rita Rd
A
Pleasanton, CA 94566-8304

Mailing address

3120 Santa Rita Rd
A
Pleasanton, CA 94566-8304
Phone (925) 426-6986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000428 CA Practitioner - Physical Therapist in Private Practice 0547226953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pleasanton Physical Therapy Services IncGroup PAC ID 4284690694, 22 clinicians

Practice addresses (Care Compare)

301 Lennon LN
Suite 202
Walnut Creek, CA 94598-2433
Phone (925) 934-6373

Merit-based Incentive Payment System (MIPS)

Final score
20.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT12931CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasanton Physical Therapy Services, Inc. Current Accepting new patients
Pleasanton Physical Therapy Services, Inc. Physical Therapist CurrentSince Apr 1, 2002 Accepting new patients

Locations

3120 Santa Rita Rd
Ste A
Pleasanton, CA 94566
Phone (925) 426-6986

301 Lennon Ln
Ste 202
Walnut Creek, CA 94598
Phone (925) 934-6373

Organizations & group practices 2

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1639363112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SANTA RITA RD",
            "address_2": "A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668304",
            "telephone_number": "925-426-6986",
            "fax_number": "925-426-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SANTA RITA RD",
            "address_2": "A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668304",
            "telephone_number": "925-426-6986",
            "fax_number": "925-426-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "HITEN",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12931",
            "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 Aug 28, 2007; 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.