Individual provider Active NPI

Alison Prunauer

  • Physical Therapist
  • Rolling Hills Estates, CA
National Provider Identifier
1639851801
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
550 Deep Valley Dr Ste 297
Rolling Hills Estates, CA 90274-3698
Phone
(310) 544-6264
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 Primary

Addresses

Primary practice location

550 Deep Valley Dr Ste 297
Rolling Hills Estates, CA 90274-3698

Mailing address

550 Deep Valley Dr Ste 297
Rolling Hills Estates, CA 90274-3698
Phone (310) 544-6264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928000906 CA Practitioner - Physical Therapist in Private Practice 3274987003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Physical Therapy Inc.Group PAC ID 2860679065, 8 clinicians

Practice addresses (Care Compare)

550 Deep Valley Dr
Suite 297
Rolling Hills Estates, CA 90274-3698
Phone (310) 544-6264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Physical Therapy Inc. Physical Therapist CurrentSince Aug 4, 2023 Accepting new patients
Pacific Physical Therapy Physical Therapist PastSince Aug 4, 2023 Accepting new patients

Locations

550 Deep Valley Dr
Ste 297
Rolling Hills Estates, CA 90274
Phone (310) 544-6264

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1639851801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR STE 297",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743698",
            "telephone_number": "310-544-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR STE 297",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743698",
            "telephone_number": "310-544-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNAUER",
        "first_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.