Individual provider Active NPI

Arthur A Tom, DPT

  • Physical Therapist
  • Alpine, CA
National Provider Identifier
1801220504
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 40357 Issued in CA
Practice address
2549 Alpine Blvd
Alpine, CA 91901-3950
Phone
(619) 445-3168
Fax
(619) 445-5368
NPI assigned
Aug 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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 PT 40357 CA Primary

Addresses

Primary practice location

2549 Alpine Blvd
Alpine, CA 91901-3950

Mailing address

2549 Alpine Blvd
Alpine, CA 91901-3950
Phone (619) 445-3168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140226000918 CA Practitioner - Physical Therapist in Private Practice 8628208386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Physical Therapy and Wellness Center, IncGroup PAC ID 8022914498, 3 clinicians

Practice addresses (Care Compare)

2549 Alpine Blvd
Alpine, CA 91901-3950
Phone (619) 445-3168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 40357CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Physical Therapy & Wellness Center, Inc CurrentSince Aug 14, 2013 Accepting new patients

Locations

2549 Alpine Blvd
Alpine, CA 91901
Phone (619) 445-1188

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": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1801220504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 ALPINE BLVD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013950",
            "telephone_number": "619-445-3168",
            "fax_number": "619-445-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 ALPINE BLVD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013950",
            "telephone_number": "619-445-3168",
            "fax_number": "619-445-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "ARTHUR",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 40357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.