Individual provider Active NPI

Nadia Marie Temple, P.T.

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1801879267
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19825 Issued in CA
Practice address
2039 Forest Ave
#104
San Jose, CA 95128-4817
Phone
(408) 279-8501
Fax
(408) 279-8504
NPI assigned
Nov 21, 2005
Last updated
Mar 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 PT19825 CA Primary

Addresses

Primary practice location

2039 Forest Ave
#104
San Jose, CA 95128-4817

Mailing address

246 Sobrante Way
#104
Sunnyvale, CA 94086-4807
Phone (408) 733-3670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000369 CA Practitioner - Physical Therapist in Private Practice 1052393014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 E Calaveras Blvd
Suite 112
Milpitas, CA 95035-7708
Phone (408) 934-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2004 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist Current Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2004 Accepting new patients
Richard P. Carr Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

3395 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 369-8556

500 E Calaveras Blvd
Ste 112
Milpitas, CA 95035
Phone (408) 934-4700

605 Tennant Ave
Morgan Hill, CA 95037
Phone (408) 247-7278

605 Tennant Ave
Ste F
Morgan Hill, CA 95037
Phone (408) 778-3434

2039 Forest Ave
Ste 104
San Jose, CA 95128
Phone (408) 279-8501

2039 Forest Ave
Ste 204
San Jose, CA 95128

246 Sobrante Way
Sunnyvale, CA 94086
Phone (408) 733-3670

246 Sobrante Way
#104
Sunnyvale, CA 94086

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1801879267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SOBRANTE WAY",
            "address_2": "#104",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940864807",
            "telephone_number": "408-733-3670",
            "fax_number": "408-245-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE",
            "address_2": "#104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284817",
            "telephone_number": "408-279-8501",
            "fax_number": "408-279-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "NADIA",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.