Unknown Individual – Physical Therapist, NPI 1407959232

Unknown Individual is a healthcare provider. based in Tehachapi, California. specializing in Physical Therapist. They hold a License No. PT13242 (CA). The NPI Number for Unknown Individual is 1407959232

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407959232
Phone
(661) 822-5483
Address
20418 BRIAN WAY STE 5
Deactivation Date
5 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6618225483
Graduation Year
1985 (41 years ago)
PAC ID
6608883947
Group Practice PAC ID
5698782993
Professional Enrollment ID
I20060313000141
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 20418 BRIAN WAY STE 5

    TEHACHAPI, CA 935616760

    Phone: (661) 822-5483

    Fax: (661) 822-6331

    Type: Location

  • 1723 27th St

    Bakersfield, CA 933012807

    Phone: (661) 827-9320

    Fax: (661) 827-9324

    Type: Location

  • 5337, Truxtun Avenue, Bakersfield, Kern County, California, 93309, United States

    BAKERSFIELD, CA 933090641

    Phone: (661) 328-0650

    Fax: (661) 328-0654

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11416$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care4112$0
View full utilization report →

Insurance plans in this area (ZIP 93561)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40330

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698782993View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1407959232 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in California?
You will see Tehachapi, California on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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