PTP, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PTP, INC

Practice address

320 W Valley Blvd
Alhambra, CA 91803-3338

Phone

(626) 289-2268

Fax

(626) 289-3499

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Practical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Pediatric Therapy Partners Inc

  • Physical Therapist
  • Monterey Park, CA
  • NPI 1578505244

  O20090401000061

  Same enrollment

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tami Peavy, PT

  • Physical Therapist
  • Alhambra, CA
  • NPI 1871597286
  NPD Authorized official
• Aivy Marie Mariano

  • Physical Therapist
  • La Mesa, CA
  • NPI 1235941196
  NPD
• Sara H Brown, SLP

  • Speech-Language Pathologist
  • Hephzibah, GA
  • NPI 1962406934
  NPD (past)
• Robyn S Budenstein, PT

  • Physical Therapist
  • Augusta, GA
  • NPI 1740282912
  NPD (past)
• Rachelle R Clark, OT

  • Occupational Therapist
  • Hephzibah, GA
  • NPI 1003818279
  NPD (past)
• Jesse D Haile, OT

  • Pediatric Occupational Therapist
  • Hephzibah, GA
  • NPI 1750383907
  NPD (past)
• Tara L Syms, OT

  • Occupational Therapist
  • Hephzibah, GA
  • NPI 1013911353
  NPD (past)
• Colleen Walsh, SLP

  • Speech-Language Pathologist
  • Hephzibah, GA
  • NPI 1528053360
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BM991A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Practical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Physical Therapist in California

• 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.