Organization Active NPI

Proactive Physical Therapy Inc

  • Specialist
  • Sunnyvale, CA
National Provider Identifier
1679755136
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT19498 Issued in CA
Legal business name
PROACTIVE PHYSICAL THERAPY INC
Practice address
1208 E Arques Ave Ste 115
Sunnyvale, CA 94085-5419
Phone
(408) 720-1700
Fax
(408) 720-6900
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Mrs. Nupur N Oza, PTNPI 1659310076
Title
President
Phone
(408) 720-1700

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 PT19498 CA Primary

Addresses

Primary practice location

1208 E Arques Ave Ste 115
Sunnyvale, CA 94085-5419

Mailing address

1208 E Arques Ave Ste 115
Sunnyvale, CA 94085-5419
Phone (408) 720-1700

Other identifiers 1

IdentifierTypeStateIssuer
1659310076OtherCANPI NUPUR OZA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120814000580 CA Part B Supplier - Clinic/Group Practice 3779739347 Receives reassigned benefits from 1 practitioner
Practice locations: Sunnyvale, CA

National Provider Directory

National Provider Directory

Locations

1208 E Arques Ave
Ste 115
Sunnyvale, CA 94085
Phone (408) 505-8266

Practitioners & affiliated clinicians

Practitioners 5

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1679755136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E ARQUES AVE STE 115",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855419",
            "telephone_number": "408-720-1700",
            "fax_number": "408-720-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E ARQUES AVE STE 115",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940855419",
            "telephone_number": "408-720-1700",
            "fax_number": "408-720-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "OZA",
        "authorized_official_first_name": "NUPUR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-720-1700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT19498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUPUR OZA",
            "identifier": "1659310076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.