NPIMap

Organization Active NPI

PTP, Inc

Doing business as Practical Therapy

  • Physical Therapist
  • Alhambra, CA
National Provider Identifier
1699050260
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PTP, INC
Doing business as
Practical Therapy
Practice address
320 W Valley Blvd
Alhambra, CA 91803-3338
Phone
(626) 289-2268
Fax
(626) 289-3499
NPI assigned
Oct 14, 2011
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Tami Peavy, MPTNPI 1871597286
Title
Onwer
Phone
(706) 306-3641

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

320 W Valley Blvd
Alhambra, CA 91803-3338

Mailing address

1814 W Alameda Ave
Burbank, CA 91506-2929
Phone (706) 306-3641

Other names 1

  • Practical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090401000061 CA Part B Supplier - Clinic/Group Practice 5395783930 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alhambra, CA; Rowland Heights, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

612 E Glenoaks Blvd
Glendale, CA 91207
Phone (800) 234-3801

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1699050260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 W ALAMEDA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062929",
            "telephone_number": "706-306-3641",
            "fax_number": "818-861-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033338",
            "telephone_number": "626-289-2268",
            "fax_number": "626-289-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "PEAVY",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "706-306-3641",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Practical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.