Active NPI
Tami Peavy, PT
- Physical Therapist
- Alhambra, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33736
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000937329D | Medicaid | GA |
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, 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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33736 | CA | MD | Social Worker |
| 7347 | GA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTP, Inc | Physical Therapist | Current | Accepting new patients |
| Aij, Inc | Physical Therapist | Current | Accepting new patients |
| In-Home Physical Therapy PC | Past | 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.
-
- Physical Therapist
- Monterey Park, CA
- NPI 1578505244
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- La Mesa, CA
- NPI 1962401398
Physical Therapist
-
- Physical Therapist
- Alhambra, CA
- NPI 1699050260
-
- Multi-Specialty Clinic/Center
- Encinitas, CA
- NPI 1588800874
-
- Physical Therapist
- Sherman Oaks, CA
- NPI 1497771885
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1720412794
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.