Individual provider Active NPI

Pamela Thayer, PT

  • Specialist
  • Monterey, CA
National Provider Identifier
1912065400
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT12380 Issued in CA
Practice address
337 El Dorado St
Suite B-5
Monterey, CA 93940-4647
Phone
(831) 646-1100
Fax
(831) 646-1014
NPI assigned
Dec 5, 2006
Last updated
Oct 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT12380 CA Primary

Addresses

Primary practice location

337 El Dorado St
Suite B-5
Monterey, CA 93940-4647

Mailing address

337 El Dorado St
Suite B-5
Monterey, CA 93940-4647
Phone (831) 646-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT12380CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1912065400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 EL DORADO ST",
            "address_2": "SUITE B-5",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404647",
            "telephone_number": "831-646-1100",
            "fax_number": "831-646-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 EL DORADO ST",
            "address_2": "SUITE B-5",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404647",
            "telephone_number": "831-646-1100",
            "fax_number": "831-646-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT12380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.