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AMY RADU D.P.T.
NPI 1104114099
Physical Therapist - Neurology in Vallejo, CA

Active since July 13, 2011
975 SERENO DR, C/O 3RD FLOOR PNF PROGRAM, VALLEJO, CA 94589(707) 651-2204 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, Jan 3, 2022 (2 updates tracked since 2022).

About Amy Radu D.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY RADU D.P.T. (NPI 1104114099) is an individual neurology provider in Vallejo, California, licensed in California (37727) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1104114099
Entity TypeIndividualFemale
Primary Taxonomy2251N0400X
Provider Legal NameAMY RADUCredential: D.P.T.
Location Address975 SERENO DR, C/O 3RD FLOOR PNF PROGRAMVallejo, CA 94589-2441
Mailing Address11623 Via BolsaEl Cajon, CA 92019-4017 · (619) 977-7879
Phone(707) 651-2204
Sole ProprietorNo
Enumeration DateJuly 13, 2011
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1104114099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License✔ Licensed in CA · 37727
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
975 SERENO DR, Vallejo, CA 94589
Open in Google Maps ↗

Other Names 1

Former Name (1)Amy Elizabeth Renvall

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Radu D.p.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amy Radu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
Same address
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Radu's NPI number?

The NPI number for Amy Radu is 1104114099. It was assigned to this individual provider in the NPPES registry on July 13, 2011. The provider is also known as Amy Elizabeth Renvall.

Where is Amy Radu located?

Amy Radu practices at 975 Sereno Dr C/O 3rd Floor Pnf Program, Vallejo, CA 94589. The listed phone number is (707) 651-2204.

What is Amy Radu's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Amy Radu enrolled in Medicare?

Yes. Amy Radu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Radu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Radu reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Radu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Radu was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.