Individual provider Active NPI

Tami Peavy, PT

  • Physical Therapist
  • Alhambra, CA
National Provider Identifier
1871597286
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33736 Issued in CA
Practice address
320 W Valley Blvd
Alhambra, CA 91803-3338
Phone
(706) 306-3641
Fax
(818) 861-7348
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 7347 GA
Physical Therapist 225100000X 33736 CA Primary

Addresses

Primary practice location

320 W Valley Blvd
Alhambra, CA 91803-3338

Mailing address

1814 W Alameda Ave
Burbank, CA 91506-2929
Phone (706) 306-3641

Other identifiers 1

IdentifierTypeStateIssuer
000937329DMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000542 CA Practitioner - Physical Therapist in Private Practice 5294773842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 W Valley Blvd
Alhambra, CA 91803-3338
Phone 80023438011

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33736CAMDSocial Worker
7347GAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PTP, Inc Physical Therapist CurrentSince Mar 11, 2005 Accepting new patients
Aij, Inc Physical Therapist Current Accepting new patients
In-Home Physical Therapy PC PastSince Jan 1, 2014 Accepting new patients
Active Body Physical Therapy Inc Physical Therapist Past Accepting new patients
Patrick Physical Therapy Inc Physical Therapist Past Accepting new patients
Socal Hospice Services, Inc. Past Accepting new patients

Locations

320 W Valley Blvd
Alhambra, CA 91803
Phone (626) 616-8695

8380 Center Dr
Ste E
La Mesa, CA 91942
Phone (619) 466-6077

19237 Colima Rd
Rowland Heights, CA 91748
Phone (626) 581-7898

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1871597286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 W ALAMEDA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062929",
            "telephone_number": "706-306-3641",
            "fax_number": "818-861-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033338",
            "telephone_number": "706-306-3641",
            "fax_number": "818-861-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "TAMI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "7347",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000937329D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.