Individual provider Active NPI

Donald John Dendinger, MPT

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1841402039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT212770 Issued in CA
Practice address
1874 Tice Valley Blvd
Walnut Creek, CA 94595-2224
Phone
(925) 935-0510
Fax
(925) 935-0750
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT212770 CA Primary

Addresses

Primary practice location

1874 Tice Valley Blvd
Walnut Creek, CA 94595-2224

Mailing address

1874 Tice Valley Blvd
Walnut Creek, CA 94595-2224
Phone (925) 935-0510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000289 CA Practitioner - Physical Therapist in Private Practice 7810897048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tice Valley Physical Therapy and Sports Medicine IncGroup PAC ID 3476453697, 3 clinicians

Practice addresses (Care Compare)

2540 Camino Diablo
Suite 100
Walnut Creek, CA 94597-3950
Phone 9259350510925935

Merit-based Incentive Payment System (MIPS)

Final score
23.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT212770CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tice Valley Physical Therapy and Sports Medicine Inc. Physical Therapist CurrentSince May 6, 2008 Accepting new patients
Tice Valley Physcial Therapy Inc. Current Accepting new patients

Locations

1874 Tice Valley Blvd
Walnut Creek, CA 94595
Phone (925) 639-0957

2540 Camino Diablo
Ste 100
Walnut Creek, CA 94597
Phone (925) 935-0510

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, 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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841402039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 TICE VALLEY BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952224",
            "telephone_number": "925-935-0510",
            "fax_number": "925-935-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 TICE VALLEY BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952224",
            "telephone_number": "925-935-0510",
            "fax_number": "925-935-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENDINGER",
        "first_name": "DONALD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT212770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.