NPIMap

Organization Active NPI

Individualized Physical Therapy, Inc

Doing business as Individualized Physical Therapy

  • Physical Therapy Clinic/Center
  • Morgan Hill, CA
National Provider Identifier
1922140003
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INDIVIDUALIZED PHYSICAL THERAPY, INC
Doing business as
Individualized Physical Therapy
Practice address
17705 Hale Ave Ste H6
Morgan Hill, CA 95037-4340
Phone
(408) 778-6800
Fax
(408) 762-4488
NPI assigned
Feb 13, 2007
Last updated
Aug 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Tracy Lea Halmos, MPT, ATC, CSCSNPI 1134285398
Title
Owner/Physical Therapist
Phone
(408) 778-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

17705 Hale Ave Ste H6
Morgan Hill, CA 95037-4340

Mailing address

17705 Hale Ave Ste H6
Morgan Hill, CA 95037-4340
Phone (408) 778-6800

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ64853ZOtherCABLUE SHIELD OF CA

Other names 1

  • Individualized Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1922140003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17705 HALE AVE STE H6",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374340",
            "telephone_number": "408-778-6800",
            "fax_number": "408-762-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17705 HALE AVE STE H6",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374340",
            "telephone_number": "408-778-6800",
            "fax_number": "408-762-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALIZED PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "HALMOS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-778-6800",
        "authorized_official_credential": "MPT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ64853Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Individualized Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.