Active NPI
James Gerald Tucker, PT PHYSICAL THERAPIS
- Physical Therapist
- Aptos, CA
National Provider Identifier
1932262060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20463
- Practice address
- 15 Seascape Village
Aptos, CA 95003 - Phone
- (831) 687-0985
- Fax
- (831) 687-0986
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20463 | CA | Primary |
Addresses
Primary practice location
15 Seascape Village
Aptos, CA 95003
Mailing address
15 Seascape Village
Aptos, CA 95003
Phone (831) 687-0985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 673905 | Other | CA | ACN GROUP OF CA |
| OPT204630 | Other | CA | BLUE SHIELD OF CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20463 | CA | MD | Chiropractor |
| PT20463 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932262060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SEASCAPE VILLAGE",
"city": "APTOS",
"state": "CA",
"postal_code": "95003",
"telephone_number": "831-687-0985",
"fax_number": "831-687-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SEASCAPE VILLAGE",
"city": "APTOS",
"state": "CA",
"postal_code": "95003",
"telephone_number": "831-687-0985",
"fax_number": "831-687-0986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JAMES",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "PT PHYSICAL THERAPIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT20463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP OF CA",
"identifier": "673905",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "OPT204630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.