Isabel Barboza
Individual provider Active NPI Physical Therapy Assistant · Patterson, CA
NPI 1003596313 · NPPES record last updated Jul 20, 2023
Key facts
- NPI
- 1003596313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 51965 (CA)
- Practice address
- 1700 Keystone Pacific Pkwy Unit C2
Patterson, CA 95363-8874 - Phone
- (209) 895-4206
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51965 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Bear Physical Therapy Sports Injury Center, Inc | Current |
Accepting new patients |
Locations
1700 Keystone Pacific Pkwy
Unit C2
Patterson, CA 95363
Phone (209) 881-9274
Interoperability endpoints
- https://api.platform.athenahealth.com/20554/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51965 | CA | Yes |
Addresses
Primary practice location
1700 Keystone Pacific Pkwy Unit C2
Patterson, CA 95363-8874
Mailing address
15933 Sassafras Dr
Delhi, CA 95315-9378
Phone (209) 202-7625
Other providers in Patterson, CA
- Archive Health Medical PC
- Deanna H Arroyo
- Janet Avina
- Tomas Ayala Jr.
- Fatema Bandookwala
- Lizandro Barragan
- Vaishali Benaka Hebbar
- Paul S. Berry
- Bailey Marie Bielecki
- Victoire O Bongwele
All providers in Patterson, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.