Unknown Individual – Physical Therapist, NPI 1710097555

Unknown Individual is a healthcare provider. based in Richmond, California. specializing in Physical Therapist. They hold a License No. PT11158 (CA). The NPI Number for Unknown Individual is 1710097555

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710097555
Phone
(510) 758-1111
Address
3065 RICHMOND PARKWAY
Deactivation Date
3 June 2022
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

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Provider Addresses for Unknown Individual

  • 3065, Richmond Parkway, Richmond, Contra Costa County, California, 94806, United States

    SUITE 105

    RICHMOND, CA 94806

    Phone: (510) 758-1111

    Fax: (510) 758-8323

    Mailing address matches the actual address.

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.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94806)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1710097555 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Physical Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Richmond, California for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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