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

Kathrinamay Basa, PT

Individual provider Physical Therapist · NPI 1124748272

Kathrinamay Basa, PT is a Physical Therapist in Private Practice in Pleasanton, California. Qualified in 2022, 4 years ago. Practices with Ida L Coryell Hirst, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3908 Valley Ave Ste B
Pleasanton, CA 94566-4872
Phone: (925) 417-8005
Fax: (925) 417-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT302686 (CA)

Record details

NPI number1124748272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address3908 Valley Ave Ste B, Pleasanton, CA 94566-4872

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ida L Coryell Hirst — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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