Active NPI
Payam Defaii, P.T.
- Physical Therapist
- Milpitas, CA
National Provider Identifier
1942373618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 29767
- Practice address
- 670 E Calaveras Blvd
Milpitas, CA 95035-5442 - Phone
- (408) 934-4700
- Fax
- (408) 934-4701
- NPI assigned
- Nov 17, 2006
- Last updated
- Jan 3, 2022
- 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 | PT 29767 | CA | Primary |
Addresses
Primary practice location
670 E Calaveras Blvd
Milpitas, CA 95035-5442
Mailing address
PO Box 612260
San Jose, CA 95161-2260
Phone (877) 325-2776
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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 |
|---|---|---|---|
| PT 29767 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard P Carr Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Richard P. Carr Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sunnyvale Physical Therapy & Hand Rehabilitation
- Physical Therapist
- Sunnyvale, CA
- NPI 1194707653
-
dba Morgan Hill Physical Therapy, Inc
- Physical Therapist
- Morgan Hill, CA
- NPI 1306829452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1942373618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 612260",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951612260",
"telephone_number": "877-325-2776",
"fax_number": "408-945-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 E CALAVERAS BLVD",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950355442",
"telephone_number": "408-934-4700",
"fax_number": "408-934-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFAII",
"first_name": "PAYAM",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 29767",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3555 Whipple Rd",
"city": "Union City",
"state": "CA",
"country_code": "US",
"postal_code": "945871507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.