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MR. JEFF W ALVES P.T.
Complete NPI Record 1750488086
Physical Therapist in Elk Grove, CA

NPI Status: Active since September 20, 2006

Contact Information

9381 E. STOCKTON BLVD.
SUITE 108
ELK GROVE, CA
ZIP 95624
Phone: (916) 686-5070
Fax: (916) 686-5077

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider Credential Text
  8. Provider First Line Business Mailing Address
  9. Provider Second Line Business Mailing Address
  10. Provider Business Mailing Address City Name
  11. Provider Business Mailing Address State Name
  12. Provider Business Mailing Address Postal Code
  13. Provider Business Mailing Address Country Code If outside U S
  14. Provider Business Mailing Address Telephone Number
  15. Provider Business Mailing Address Fax Number
  16. Provider First Line Business Practice Location Address
  17. Provider Second Line Business Practice Location Address
  18. Provider Business Practice Location Address City Name
  19. Provider Business Practice Location Address State Name
  20. Provider Business Practice Location Address Postal Code
  21. Provider Business Practice Location Address Country Code If outside U S
  22. Provider Business Practice Location Address Telephone Number
  23. Provider Business Practice Location Address Fax Number
  24. Provider Enumeration Date
  25. Last Update Date
  26. Provider Gender Code
  27. Healthcare Provider Taxonomy Code 1
  28. Provider License Number 1
  29. Provider License Number State Code 1
  30. Healthcare Provider Primary Taxonomy Switch 1
  31. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1750488086. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750488086
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Entity Type Code: 1
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider First Name: JEFF
The city name in the location address of the provider being identified.
Provider Middle Name: W
The State code in the location of the provider being identified.
Provider Name Prefix Text: MR.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Credential Text: P.T.
The country code in the location address of the provider being identified.
Provider First Line Business Mailing Address: 9381 E. STOCKTON BLVD.
The telephone number associated with the location address of the provider being identified.
Provider Second Line Business Mailing Address: SUITE 108
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address City Name: ELK GROVE
The date that a record was last updated or changed.
Provider Business Mailing Address State Name: CA
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Mailing Address Postal Code: 95624
The first name of the authorized official.
Provider Business Mailing Address Country Code If outside U S : US
The title or position of the authorized official.
Provider Business Mailing Address Telephone Number: 9166865070
The 10-position telephone number of the authorized official.
Provider Business Mailing Address Fax Number: 9166865077
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Practice Location Address: 9381 E. STOCKTON BLVD.
Provider Second Line Business Practice Location Address: SUITE 108
Provider Business Practice Location Address City Name: ELK GROVE
Provider Business Practice Location Address State Name: CA
Provider Business Practice Location Address Postal Code: 95624
Provider Business Practice Location Address Country Code If outside U S : US
Provider Business Practice Location Address Telephone Number: 9166865070
Provider Business Practice Location Address Fax Number: 9166865077
Provider Enumeration Date: 9/20/2006
Last Update Date: 7/8/2007
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Provider Gender Code: M
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Healthcare Provider Taxonomy Code 1: 225100000X
Provider License Number 1: PT 17356
Provider License Number State Code 1: CA
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N