Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ativa Physical Medicine PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1760130827

Ativa Physical Medicine PC is a Physical Medicine & Rehabilitation Physician in San Jose, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4950 Hamilton Ave Ste 109
San Jose, CA 95130-1748
Phone: (408) 256-3865
Fax: (408) 883-8171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1760130827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tam Ly — Clinic Director · (408) 256-3865
NPI enumeratedMarch 16, 2022
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing address4950 Hamilton Ave Ste 109, San Jose, CA 95130-1748

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