Individual provider Active NPI

Valentin Franz Wilhelm Nerding, PHYSICAL THERAPIST

  • Physical Therapist
  • La Jolla, CA
National Provider Identifier
1811605017
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT302912 Issued in CA
Practice address
7946 Ivanhoe Ave Ste 110
La Jolla, CA 92037-4516
Phone
(858) 551-8882
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 PT302912 CA Primary

Addresses

Primary practice location

7946 Ivanhoe Ave Ste 110
La Jolla, CA 92037-4516

Mailing address

1045 Opal St
San Diego, CA 92109-1829
Phone (858) 281-3767

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT302912CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creamer Physical Therapy Inc. Physical Therapist CurrentSince Nov 13, 2022 Accepting new patients

Locations

7946 Ivanhoe Ave
Ste 110
La Jolla, CA 92037
Phone (858) 551-8882

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, 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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1811605017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 OPAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091829",
            "telephone_number": "858-281-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 IVANHOE AVE STE 110",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374516",
            "telephone_number": "858-551-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERDING",
        "first_name": "VALENTIN",
        "middle_name": "FRANZ WILHELM",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.