Active NPI
Tracy H. Mar, P.T.
- Physical Therapist
- Sunnyvale, CA
National Provider Identifier
1750504965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24449
- Practice address
- 815 Stewart Dr
Sunnyvale, CA 94085-4514 - Phone
- (408) 737-2335
- Fax
- (866) 541-2651
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24449 | CA | Primary |
Addresses
Primary practice location
815 Stewart Dr
Sunnyvale, CA 94085-4514
Mailing address
918A Dewing Ave
Lafayette, CA 94549-4223
Phone (510) 301-0147
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24449 | CA | MD | Dentist |
| PT24449 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak to Peak Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Lafayette, CA
- NPI 1528251543
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1750504965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918A DEWING AVE",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494223",
"telephone_number": "510-301-0147",
"fax_number": "866-541-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 STEWART DR",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854514",
"telephone_number": "408-737-2335",
"fax_number": "866-541-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAR",
"first_name": "TRACY",
"middle_name": "H.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24449",
"primary": true
}
],
"identifiers": [],
"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 Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.