Deactivated NPI 1588707384 Deactivated / Inactive NPI Male Practitioner

Iden Jean Francois Warnock , PT, CSCS, JSCC

Physical Therapist • Cotati, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Iden Warnock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2007

NPI Deactivation Date July 28, 2024

Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Iden Warnock, PT, CSCS, JSCC was a registered Physical Therapist practicing in Cotati, CA. Throughout an active medical career spanning 17 years, Iden Warnock provided care at the practice location at 7840 OLD REDWOOD HWY until profile deactivation on 2024-07-28.

Historical Medicare Part B clinical services included therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, re-evaluation for physical therapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7840 Old Redwood Hwy

Cotati, CA 949315106

Telephone 7077951636

Fax 7077952273

Associated Practice Facility / Clinic

🏢 Cotati Rohnert Park Physical Therapy Facility NPI 1659531838

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Cotati, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.0 Yrs

State Avg: 16.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Cotati, CA (22820 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	207	19	$75.00	$25.99
97140 Therapy procedure using manual technique, each 15 minutes	160	15	$75.00	$21.82
97164 Re-evaluation for physical therapy, typically 20 minutes	14	13	$250.00	$76.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,055	78	$75.00	$25.85
97140 Therapy procedure using manual technique, each 15 minutes	670	74	$75.00	$21.90
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	458	63	$75.00	$31.62
97530 Therapy procedure using functional activities	210	45	$75.00	$36.43
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	197	44	$30.00	$9.14
97161 Evaluation of physical therapy, typically 20 minutes	51	49	$222.55	$111.11
97116 Walking training to 1 or more areas, each 15 minutes	39	14	$70.00	$24.57
97164 Re-evaluation for physical therapy, typically 20 minutes	23	22	$219.57	$77.38
97162 Evaluation for physical therapy, typically 30 minutes	15	15	$263.33	$111.14
97163 Evaluation for physical therapy, typically 45 minutes	13	13	$303.85	$111.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,120	77	$74.87	$26.74
97140 Therapy procedure using manual technique, each 15 minutes	819	73	$76.22	$22.74
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	258	47	$75.00	$32.56
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	201	47	$30.00	$9.64
97116 Walking training to 1 or more areas, each 15 minutes	76	17	$61.32	$24.21
97161 Evaluation of physical therapy, typically 20 minutes	50	49	$160.00	$110.93
97530 Therapy procedure using functional activities	47	18	$72.87	$33.35
97164 Re-evaluation for physical therapy, typically 20 minutes	46	33	$177.72	$77.15
97162 Evaluation for physical therapy, typically 30 minutes	22	20	$250.00	$110.99
97163 Evaluation for physical therapy, typically 45 minutes	12	12	$300.00	$110.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,484	112	$71.56	$26.88
97140 Therapy procedure using manual technique, each 15 minutes	1,046	106	$71.94	$23.31
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	785	76	$70.46	$34.16
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	119	38	$30.00	$10.59
97124 Therapy procedure using massage, each 15 minutes	89	18	$50.00	$24.84
97164 Re-evaluation for physical therapy, typically 20 minutes	71	52	$175.00	$76.18
97116 Walking training to 1 or more areas, each 15 minutes	61	18	$60.00	$25.27
97162 Evaluation for physical therapy, typically 30 minutes	56	56	$250.00	$110.82
97161 Evaluation of physical therapy, typically 20 minutes	37	35	$150.00	$110.82
97163 Evaluation for physical therapy, typically 45 minutes	14	14	$300.00	$110.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,220	101	$70.00	$26.96
97140 Therapy procedure using manual technique, each 15 minutes	1,116	96	$70.00	$23.66
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	736	80	$70.00	$35.01
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	220	41	$30.00	$10.98
97162 Evaluation for physical therapy, typically 30 minutes	52	50	$250.00	$94.37
97164 Re-evaluation for physical therapy, typically 20 minutes	44	29	$175.00	$65.04
97161 Evaluation of physical therapy, typically 20 minutes	41	40	$150.00	$94.32
97163 Evaluation for physical therapy, typically 45 minutes	13	13	$300.00	$93.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	978	96	$70.00	$22.90
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	625	78	$70.00	$27.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	297	70	$30.00	$10.85
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	283	57	$70.00	$30.62
97530 Therapy procedure using functional activities	176	35	$70.00	$37.39
97164 Re-evaluation for physical therapy, typically 20 minutes	65	47	$175.00	$60.45
97161 Evaluation of physical therapy, typically 20 minutes	42	39	$150.00	$90.72
97162 Evaluation for physical therapy, typically 30 minutes	38	38	$250.00	$90.75
97035 Application of ultrasound, each 15 minutes	38	20	$35.00	$10.95
97163 Evaluation for physical therapy, typically 45 minutes	13	13	$300.00	$90.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	1,151	104	$69.71	$23.22
97530 Therapy procedure using functional activities	484	72	$69.61	$35.19
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	283	65	$69.58	$28.17
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	244	67	$30.00	$11.02
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	238	63	$69.92	$31.09
97162 Evaluation for physical therapy, typically 30 minutes	60	56	$249.17	$88.51
97164 Re-evaluation for physical therapy, typically 20 minutes	55	38	$174.55	$60.45
97161 Evaluation of physical therapy, typically 20 minutes	26	25	$148.08	$89.21
97535 Training for self-care or home management, each 15 minutes	21	14	$65.00	$29.61
97163 Evaluation for physical therapy, typically 45 minutes	20	20	$300.00	$89.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	1,380	105	$60.03	$24.55
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	666	85	$60.03	$30.11
97530 Therapy procedure using functional activities	315	49	$60.00	$31.81
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	246	58	$30.00	$10.59
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	150	51	$60.00	$29.22
97116 Walking training to 1 or more areas, each 15 minutes	90	16	$55.00	$22.40
97164 Re-evaluation for physical therapy, typically 20 minutes	55	42	$150.00	$56.85
97162 Evaluation for physical therapy, typically 30 minutes	49	49	$201.02	$84.27
97163 Evaluation for physical therapy, typically 45 minutes	33	32	$200.00	$84.10
97161 Evaluation of physical therapy, typically 20 minutes	25	23	$100.00	$84.19

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License CA PT8789

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Nieves Esquivel , PT

Physical Therapist

NPI 1184984692

Physical Therapist

Anthony O'neill , PT, RDN, LMT

Physical Therapist

NPI 1578167904

Physical Therapist, Registered Dietitian Nutritionist, Licensed Massage Therapist

Wendy Haynes , PT

Physical Therapist

NPI 1912473208

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

⚠️

NPI Profile Deactivated July 28, 2024

Record deactivated on July 28, 2024

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NPI Profile Deactivated July 27, 2024

Record deactivated on July 27, 2024

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NPI Profile Active April 06, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 06, 2017

Registered at 7840 OLD REDWOOD HWY, COTATI, CA 949315106 (Tel: 7077951636)

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Updated Business Mailing Address April 06, 2017

Registered at 7840 OLD REDWOOD HWY, COTATI, CA 94931 (Tel: 7077951636)

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Provider Name / Credentials Updated April 06, 2017

Recorded as IDEN WARNOCK, PT,CSCS,JSCC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2017

Physical Therapist (License #PT8789 in CA)

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NPI Profile Active October 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2011

Registered at 7840 OLD REDWOOD HWY, COTATI, CA 949315106 (Tel: 7077951636)

📍

Updated Business Mailing Address October 10, 2011

Registered at 7840 OLD REDWOOD HWY, COTATI, CA 94931 (Tel: 7077951636)

👤

Provider Name / Credentials Updated October 10, 2011

Recorded as IDEN WARNOCK, PT,CSCS,JSCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2011

Physical Therapist (License #PT8789 in CA)

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Initial NPI Registration & Enumeration February 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588707384

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 14, 2007

Last Update: October 10, 2011

Deactivation Date: July 28, 2024

Update or Correct Profile

Mailing Address

7840 Old Redwood Hwy

Cotati, CA 94931

Phone: 7077951636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.