Individual provider Active NPI

Abdulhamid Banafa, DPT

  • Physical Therapist
  • Campbell, CA
National Provider Identifier
1801419114
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT298077 Issued in CA
Practice address
42 W Campbell Ave Ste 201
Campbell, CA 95008-1042
Phone
(408) 370-2111
NPI assigned
May 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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 PT298077 CA Primary

Addresses

Primary practice location

42 W Campbell Ave Ste 201
Campbell, CA 95008-1042

Mailing address

133 Berrendo Dr
Milpitas, CA 95035-3119
Phone (408) 931-2493

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
PT298077CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fields in Motion Physical Therapy, Inc. Physical Therapist CurrentSince May 24, 2020 Accepting new patients
Workforce Physical Therapy Physical Therapist Current Accepting new patients

Locations

42 W Campbell Ave
Ste 201
Campbell, CA 95008
Phone (408) 370-2111

Organizations & group practices 2

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1801419114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BERRENDO DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353119",
            "telephone_number": "408-931-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W CAMPBELL AVE STE 201",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081042",
            "telephone_number": "408-370-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAFA",
        "first_name": "ABDULHAMID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.