Individual provider Active NPI

Tracy H. Mar, P.T.

  • Physical Therapist
  • Sunnyvale, CA
National Provider Identifier
1750504965
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24449 Issued in CA
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

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
24449CAMDDentist
PT24449CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak to Peak Physical Therapy Physical Therapist PastSince Sep 1, 2007 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.

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.

Verify at the official NPI Registry.