Active NPI
Annalyn Damani, PT
- Pediatric Physical Therapist
- San Lorenzo, CA
National Provider Identifier
1740498849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1178807
- Practice address
- 2001 Bockman Rd
CCS
San Lorenzo, CA 94580-1903 - Phone
- (510) 317-4355
- NPI assigned
- May 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025294 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 025294 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 1178807 | TX | Primary |
Addresses
Primary practice location
2001 Bockman Rd
CCS
San Lorenzo, CA 94580-1903
Mailing address
2001 Bockman Rd
CCS
San Lorenzo, CA 94580-1903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025294 | NY | MD | Clinical Psychologist |
| 1178807 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1740498849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BOCKMAN RD",
"address_2": "CCS",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945801903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 BOCKMAN RD",
"address_2": "CCS",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945801903",
"telephone_number": "510-317-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMANI",
"first_name": "ANNALYN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025294",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "025294",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1178807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Lorenzo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.