Pia Ulrika Paakkonen, M.S. P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 27893 Issued in CA

Practice address

13350 W Park Ave
Boulder Creek, CA 95006-9333

Phone

(831) 338-4458

NPI assigned

Apr 25, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Howard & Tibbetts Physical Therapy, Inc

  dba Valley Physical Therapy

  • Physical Therapy Clinic/Center
  • Scotts Valley, CA
  • NPI 1295860823

  Physical Therapist

  NPD (past)
• Howard & Tibbetts Physical Therapy, Inc.

  dba Valley Physical Therapy

  • Physical Therapist
  • Boulder Creek, CA
  • NPI 1730182163
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1861611832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 TEILH DR",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950068543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 W PARK AVE",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950069333",
            "telephone_number": "831-338-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAAKKONEN",
        "first_name": "PIA",
        "middle_name": "ULRIKA",
        "credential": "M.S. P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "710 Lawrence Expy",
            "city": "Santa Clara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950515173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willow Merchant, FNP, RN, IBCLC
• Danielle Yvette Morabito, MA, LMFT
• Steven John Morandi, DDS
• Jonathan D Norton, PT, DPT
• Carrie Lynn Ono
• Ethan Isaac Pearson
• Brandi Phillips, RN
• Jordenne Rachelle, MA
• Patrick Brendan Rogers, D.C.
• Mayya Sakr

• Physical Therapist in Boulder Creek, CA
• Providers in Boulder 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 Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.