Ativa Physical Medicine PC
NPI 1760130827 · Physical Medicine & Rehabilitation Physician · San Jose, CA
Ativa Physical Medicine PC is a Physical Medicine & Rehabilitation Physician organization in San Jose, CA (NPI 1760130827).
Provider details
- NPI number
- 1760130827
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tam Ly, Clinic Director(408) 256-3865
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Frequently asked questions
- What is Ativa Physical Medicine PC's NPI number?
- Ativa Physical Medicine PC's National Provider Identifier (NPI) is 1760130827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ativa Physical Medicine PC?
- Ativa Physical Medicine PC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Ativa Physical Medicine PC located?
- Ativa Physical Medicine PC's practice location on file with NPPES is 4950 Hamilton Ave Ste 109, San Jose, CA 95130-1748.
- What is Ativa Physical Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Ativa Physical Medicine PC is (408) 256-3865.
- Who is the authorized official for Ativa Physical Medicine PC?
- The authorized official listed on Ativa Physical Medicine PC's NPPES record is Tam Ly, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ativa Physical Medicine PC's NPI active?
- Yes — Ativa Physical Medicine PC's NPI (1760130827) is active in the NPPES registry as of the last update on 2022-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.