Active NPI
Paul Gene Cunningham Jr., DPT
- Physical Therapist
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT299092
- Practice address
- 39350 Civic Center Drive
Suite 300
Fremont, CA 94538 - Phone
- (510) 797-3933
- Fax
- (510) 797-5184
- NPI assigned
- Sep 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299092 | CA | |
| Physical Therapist | 225100000X | PT299092 | CA | Primary |
Addresses
Primary practice location
39350 Civic Center Drive
Suite 300
Fremont, CA 94538
Mailing address
39350 Civic Center Drive
Suite 300
Fremont, CA 94538
Phone (510) 797-3933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
39350 Civic Ctr Dr
Suite 300
Fremont, CA 94538-2331
Phone (510) 797-3933
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.02 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 87.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT299092 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Peak Orthopaedic Medical Group, Inc | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
39350 Civic Center Dr
Ste 300
Fremont, CA 94538
Phone (510) 797-3933
27206 Calaroga Ave
Ste 207
Hayward, CA 94545
Phone (510) 649-1573
27206 Calaroga Ave
Ste 107
Hayward, CA 94545
Phone (510) 300-9898
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Orthopaedic Surgery Physician
- Fremont, CA
- NPI 1609888593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1861007478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39350 CIVIC CENTER DRIVE",
"address_2": "SUITE 300",
"city": "FREMONT",
"state": "CA",
"postal_code": "94538",
"telephone_number": "510-797-3933",
"fax_number": "510-797-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39350 CIVIC CENTER DRIVE",
"address_2": "SUITE 300",
"city": "FREMONT",
"state": "CA",
"postal_code": "94538",
"telephone_number": "510-797-3933",
"fax_number": "510-797-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "PAUL",
"middle_name": "GENE",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-10",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "299092",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT299092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.