Active NPI
Heather Hughes Rose, PT
- Physical Therapist
- Palo Alto, CA
National Provider Identifier
1003175357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 26851
- Practice address
- 795 El Camino Real
Palo Alto, CA 94301-2302 - Phone
- (707) 280-2417
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 26851 | CA | Primary |
Addresses
Primary practice location
795 El Camino Real
Palo Alto, CA 94301-2302
Mailing address
394 N Whisman Rd
Mountain View, CA 94043-3957
Phone (707) 280-2417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 26851 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacer Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2330 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 855-1733
2255 Ygnacio Valley Rd
Ste E
Walnut Creek, CA 94598
Phone (925) 930-6680
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1003175357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 N WHISMAN RD",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940433957",
"telephone_number": "707-280-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 EL CAMINO REAL",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012302",
"telephone_number": "707-280-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "HEATHER",
"middle_name": "HUGHES",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 26851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.