Alexa Nadia Tanoto, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT304853 Issued in CA

Practice address

301 Lennon LN Ste 202
Walnut Creek, CA 94598-2433

Phone

(925) 934-6373

NPI assigned

Oct 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic Physical Therapy IncGroup PAC ID 6507821436, 10 clinicians

Pleasanton Physical Therapy Services IncGroup PAC ID 4284690694, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Athletic Physical Therapy Inc

  • Physical Therapist
  • Westlake Village, CA
  • NPI 1114042165
  Medicare reassignment Care Compare group NPD
• Pleasanton Physical Therapy Services, Inc.

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1336295138
  Medicare reassignment Care Compare group NPD
• Athletic Physical Therapy, Inc

  • Physical Therapist
  • Oxnard, CA
  • NPI 1487966719
  NPD

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1811779085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LENNON LN STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982433",
            "telephone_number": "925-934-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LENNON LN STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982433",
            "telephone_number": "925-934-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANOTO",
        "first_name": "ALEXA",
        "middle_name": "NADIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin K Tang, OD, FAAO
• Puiman Tang, D.D.S.
• Tianyi Tang, M.D., PH.D.
• Tanja L. Kujac, MD Inc
• William S. Tanner, M.D.
• Eric Mour-Kee Tao, M.D.
• Keith Edwin-Mosun Tao, M.D.
• Lan Tao
• Erryn Tappy
• Tarantino Medical Group, Inc.

• Physical Therapist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.